Provider Demographics
NPI:1144775859
Name:HUMMINGBIRD, RACHEL (SLP-A)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:HUMMINGBIRD
Suffix:
Gender:F
Credentials:SLP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 CHINCAPIN ST.
Mailing Address - Street 2:
Mailing Address - City:WESTVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74965-2812
Mailing Address - Country:US
Mailing Address - Phone:723-564-4918
Mailing Address - Fax:
Practice Address - Street 1:520 W DIVISION ST
Practice Address - Street 2:
Practice Address - City:STILWELL
Practice Address - State:OK
Practice Address - Zip Code:74960-2812
Practice Address - Country:US
Practice Address - Phone:918-696-7001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-23
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
OKSLPA1482355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist