Provider Demographics
NPI:1043428493
Name:BONBREST, RACHEL HOPE (SLP,CCC)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:HOPE
Last Name:BONBREST
Suffix:
Gender:F
Credentials:SLP,CCC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:HOPE
Other - Last Name:BAUMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP,CCC
Mailing Address - Street 1:7308 WESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-3356
Mailing Address - Country:US
Mailing Address - Phone:301-846-0137
Mailing Address - Fax:
Practice Address - Street 1:9101 WESLEYAN RD STE 100
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-3103
Practice Address - Country:US
Practice Address - Phone:800-603-6046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03792235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist