Provider Demographics
NPI:1558988543
Name:PURINTON, RACHEL LIANE (AUD, CCC-A)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LIANE
Last Name:PURINTON
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 VALLEY HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-2671
Mailing Address - Country:US
Mailing Address - Phone:443-760-6685
Mailing Address - Fax:
Practice Address - Street 1:45 FORESTWOOD DR
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-6213
Practice Address - Country:US
Practice Address - Phone:570-523-1163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-25
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006700231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist