Provider Demographics
NPI:1508098807
Name:RAPOWITZ, VALERIE S (MS,CCC,SLP)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:S
Last Name:RAPOWITZ
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:PO BOX 72421
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30007-2421
Mailing Address - Country:US
Mailing Address - Phone:678-643-9672
Mailing Address - Fax:770-594-9672
Practice Address - Street 1:1593 ASHEFORDE DR
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-1850
Practice Address - Country:US
Practice Address - Phone:678-643-9672
Practice Address - Fax:770-594-9672
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA004636235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist