Provider Demographics
NPI:1477833739
Name:PITTMANN, RACHEL (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:PITTMANN
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 1:11423 COMMONWEALTH DR
Mailing Address - Street 2:UNIT T-1
Mailing Address - City:NORTH BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2856
Mailing Address - Country:US
Mailing Address - Phone:240-380-2373
Mailing Address - Fax:888-965-0722
Practice Address - Street 1:11423 COMMONWEALTH DR
Practice Address - Street 2:UNIT T-1
Practice Address - City:NORTH BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-2856
Practice Address - Country:US
Practice Address - Phone:240-380-2373
Practice Address - Fax:888-965-0722
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07076235Z00000X
DCSLP000591235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist