Provider Demographics
NPI:1417207325
Name:LOWRY, RACHEL ANN (SPEECH THERAPIST)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:LOWRY
Suffix:
Gender:F
Credentials:SPEECH THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 E SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:EAST ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14445-1531
Mailing Address - Country:US
Mailing Address - Phone:716-378-4280
Mailing Address - Fax:
Practice Address - Street 1:231 EAST SPRUCE STREET
Practice Address - Street 2:
Practice Address - City:EAST ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14445
Practice Address - Country:US
Practice Address - Phone:716-378-4280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22864542355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2286454OtherNEW YORK STATE EDUCATION DEPARTMENT OFFICE OF TEACHING INITIATIVES