Provider Demographics
NPI:1629231139
Name:RAUCH, VASILIKE (AUD)
Entity Type:Individual
Prefix:DR
First Name:VASILIKE
Middle Name:
Last Name:RAUCH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 BEECH ST
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-6008
Mailing Address - Country:US
Mailing Address - Phone:219-464-9580
Mailing Address - Fax:219-464-0640
Practice Address - Street 1:2601 BEECH ST
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-6008
Practice Address - Country:US
Practice Address - Phone:219-464-9580
Practice Address - Fax:219-464-0640
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147000671231H00000X
IN23002230A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist