Provider Demographics
NPI:1306193180
Name:NEVILS, RACHEL A
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:A
Last Name:NEVILS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21005 S SCHOOL RD
Mailing Address - Street 2:SPECIAL SERVICES -- CLAIM CARE
Mailing Address - City:PECULIAR
Mailing Address - State:MO
Mailing Address - Zip Code:64078-9346
Mailing Address - Country:US
Mailing Address - Phone:816-892-1300
Mailing Address - Fax:816-892-1380
Practice Address - Street 1:21005 S SCHOOL RD
Practice Address - Street 2:SPECIAL SERVICES -- CLAIM CARE
Practice Address - City:PECULIAR
Practice Address - State:MO
Practice Address - Zip Code:64078-9346
Practice Address - Country:US
Practice Address - Phone:816-892-1300
Practice Address - Fax:816-892-1380
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002010061235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist