Provider Demographics
NPI:1467007971
Name:MCCURRY-GAUDREAU, RACHEL ANN (AUD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:MCCURRY-GAUDREAU
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5544 FRANKLIN PIKE STE 100
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37220-2104
Mailing Address - Country:US
Mailing Address - Phone:615-377-0420
Mailing Address - Fax:615-377-8524
Practice Address - Street 1:5544 FRANKLIN PIKE STE 100
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37220-2104
Practice Address - Country:US
Practice Address - Phone:615-377-0420
Practice Address - Fax:615-377-8524
Is Sole Proprietor?:No
Enumeration Date:2019-08-02
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1916231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1916OtherSTATE OF TENNESSEE