Provider Demographics
NPI:1558919399
Name:KEMMEY, RACHEL ZITTING (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ZITTING
Last Name:KEMMEY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7354 EDGEWORTH RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-1310
Mailing Address - Country:US
Mailing Address - Phone:423-930-6870
Mailing Address - Fax:
Practice Address - Street 1:4101 COURTHOUSE RD
Practice Address - Street 2:
Practice Address - City:PRINCE GEORGE
Practice Address - State:VA
Practice Address - Zip Code:23875-2945
Practice Address - Country:US
Practice Address - Phone:423-930-6870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2204000161235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist