Provider Demographics
NPI:1154688190
Name:CHAO, RACHEL ERIN (EDD, CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ERIN
Last Name:CHAO
Suffix:
Gender:F
Credentials:EDD, CCC-SLP
Other - Prefix:MISS
Other - First Name:RACHEL
Other - Middle Name:ERIN
Other - Last Name:DROSSMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:PO BOX 108
Mailing Address - Street 2:
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038-0108
Mailing Address - Country:US
Mailing Address - Phone:425-521-9024
Mailing Address - Fax:425-657-0691
Practice Address - Street 1:4509 TALBOT RD S STE 105C
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-6294
Practice Address - Country:US
Practice Address - Phone:425-521-9024
Practice Address - Fax:425-529-9211
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-16
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60273420235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist