Provider Demographics
NPI:1578005369
Name:HARRINGTON VIERRA, RACHEL (SLP-CCC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:HARRINGTON VIERRA
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 CALLE SAN ACACIA
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87506-2011
Mailing Address - Country:US
Mailing Address - Phone:505-670-0959
Mailing Address - Fax:
Practice Address - Street 1:18 PUESTA DEL SOL
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87508-5944
Practice Address - Country:US
Practice Address - Phone:505-670-0959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-09
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPE11177235Z00000X
NM235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist