Provider Demographics
NPI:1447558275
Name:DALTO, RACHAEL M (MS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:M
Last Name:DALTO
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10121 PROPPS ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-1551
Mailing Address - Country:US
Mailing Address - Phone:505-690-9394
Mailing Address - Fax:
Practice Address - Street 1:113 VASSAR DR SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-2822
Practice Address - Country:US
Practice Address - Phone:505-266-5557
Practice Address - Fax:505-266-5545
Is Sole Proprietor?:No
Enumeration Date:2011-03-02
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-4860235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist