Provider Demographics
NPI:1427416098
Name:ANTHONY, RACHEL (HIS)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:ANTHONY
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-2021
Mailing Address - Country:US
Mailing Address - Phone:610-965-1093
Mailing Address - Fax:610-965-1095
Practice Address - Street 1:903 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-2021
Practice Address - Country:US
Practice Address - Phone:610-965-1093
Practice Address - Fax:610-965-1095
Is Sole Proprietor?:No
Enumeration Date:2016-02-10
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF03582237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist