Provider Demographics
NPI:1205381720
Name:SAYLES, RACHEL E (MSCCC-SLP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:E
Last Name:SAYLES
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 STATE ST
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:NY
Mailing Address - Zip Code:13421-2568
Mailing Address - Country:US
Mailing Address - Phone:315-335-7502
Mailing Address - Fax:
Practice Address - Street 1:565 SAYLES ST
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421-1800
Practice Address - Country:US
Practice Address - Phone:315-363-2550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202008234235Z00000X
NY026987-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist