Provider Demographics
NPI:1295405660
Name:HOWELL, RACHAEL ALICIA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:ALICIA
Last Name:HOWELL
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:
Other - Last Name:EADS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24643 BROAD CREEK DR
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:20636-4121
Mailing Address - Country:US
Mailing Address - Phone:801-602-9764
Mailing Address - Fax:
Practice Address - Street 1:24643 BROAD CREEK DR
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:MD
Practice Address - Zip Code:20636-4121
Practice Address - Country:US
Practice Address - Phone:801-602-9764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD08758235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist