Provider Demographics
NPI:1053638395
Name:FARROW-BEERS, RACHEL NADYNE (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:NADYNE
Last Name:FARROW-BEERS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 576
Mailing Address - Street 2:
Mailing Address - City:SHERBURNE
Mailing Address - State:NY
Mailing Address - Zip Code:13460-0576
Mailing Address - Country:US
Mailing Address - Phone:607-316-3114
Mailing Address - Fax:
Practice Address - Street 1:3A KNAPP ST
Practice Address - Street 2:
Practice Address - City:SHERBURNE
Practice Address - State:NY
Practice Address - Zip Code:13460-9791
Practice Address - Country:US
Practice Address - Phone:607-316-3114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY12087032235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist