Provider Demographics
NPI:1609100908
Name:RAYCHECK, BRANDI J (MA, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:BRANDI
Middle Name:J
Last Name:RAYCHECK
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3569 N SECTION EXT
Mailing Address - Street 2:
Mailing Address - City:SOUTH LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45065-1169
Mailing Address - Country:US
Mailing Address - Phone:513-304-1258
Mailing Address - Fax:
Practice Address - Street 1:3569 N SECTION EXT
Practice Address - Street 2:
Practice Address - City:SOUTH LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45065-1169
Practice Address - Country:US
Practice Address - Phone:513-304-1258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA-01328231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist