Provider Demographics
NPI:1609380641
Name:CHIARA, RACHEL MAE (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:MAE
Last Name:CHIARA
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 1:276 RACE ST
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:NJ
Mailing Address - Zip Code:07823-1616
Mailing Address - Country:US
Mailing Address - Phone:908-235-2987
Mailing Address - Fax:
Practice Address - Street 1:276 RACE ST
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:NJ
Practice Address - Zip Code:07823-1616
Practice Address - Country:US
Practice Address - Phone:908-235-2987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS0077540235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist