Provider Demographics
NPI:1174022685
Name:APPLETON, RACHEL LYNN (AUD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LYNN
Last Name:APPLETON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3555 ALAMEDA DE LAS PULGAS STE 100
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-6509
Mailing Address - Country:US
Mailing Address - Phone:650-854-1980
Mailing Address - Fax:650-854-1987
Practice Address - Street 1:3555 ALAMEDA DE LAS PULGAS STE 100
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-6509
Practice Address - Country:US
Practice Address - Phone:650-854-1980
Practice Address - Fax:650-854-1987
Is Sole Proprietor?:No
Enumeration Date:2018-02-09
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3263231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3263OtherSTATE AUDIOLOGY LICENSE