Provider Demographics
NPI:1275600736
Name:HUSH, RACHAEL (MS, SLP-CCC)
Entity Type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:
Last Name:HUSH
Suffix:
Gender:F
Credentials:MS, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13333 DESERT FLOWER PL NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-5509
Mailing Address - Country:US
Mailing Address - Phone:505-401-8771
Mailing Address - Fax:
Practice Address - Street 1:11300 MONTGOMERY BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-2602
Practice Address - Country:US
Practice Address - Phone:505-296-4871
Practice Address - Fax:505-291-6805
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2557235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist