Provider Demographics
NPI:1407041171
Name:LINDAMER, RACHAEL ROSE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:ROSE
Last Name:LINDAMER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E PENNSYLVANIA AVE
Mailing Address - Street 2:COURTYARD SUITE
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-0704
Mailing Address - Country:US
Mailing Address - Phone:410-825-9445
Mailing Address - Fax:410-296-5710
Practice Address - Street 1:100 E PENNSYLVANIA AVE
Practice Address - Street 2:COURTYARD SUITE
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-0704
Practice Address - Country:US
Practice Address - Phone:410-825-9445
Practice Address - Fax:410-296-5710
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD659665235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist