Provider Demographics
NPI:1326371139
Name:KOPKE, RACHEL A (MA CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:A
Last Name:KOPKE
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 ROBERTS LN
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-3239
Mailing Address - Country:US
Mailing Address - Phone:517-896-3760
Mailing Address - Fax:
Practice Address - Street 1:2000 ROBERTS LN
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-3239
Practice Address - Country:US
Practice Address - Phone:517-896-3760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-11
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist