Provider Demographics
NPI:1295020493
Name:PAULS, RACHEL ADRIANNE (MS, SLP)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:ADRIANNE
Last Name:PAULS
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 OLIVIA DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IL
Mailing Address - Zip Code:62959-1385
Mailing Address - Country:US
Mailing Address - Phone:270-970-1275
Mailing Address - Fax:
Practice Address - Street 1:1108 GRAND AVE
Practice Address - Street 2:
Practice Address - City:JOHNSTON CITY
Practice Address - State:IL
Practice Address - Zip Code:62951-1229
Practice Address - Country:US
Practice Address - Phone:618-983-7561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist