Provider Demographics
NPI:1487860458
Name:MYERS, RACHEL ALLYN (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ALLYN
Last Name:MYERS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 CARMEL EXECUTIVE PARK DR
Mailing Address - Street 2:302
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-8251
Mailing Address - Country:US
Mailing Address - Phone:704-540-3777
Mailing Address - Fax:704-540-1443
Practice Address - Street 1:7301 CARMEL EXECUTIVE PARK DR
Practice Address - Street 2:302
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-8251
Practice Address - Country:US
Practice Address - Phone:704-540-3777
Practice Address - Fax:704-540-1443
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6191235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist