Provider Demographics
NPI:1659967230
Name:COWDREY, RACHELLE F (MED-CCC/SLP)
Entity Type:Individual
Prefix:
First Name:RACHELLE
Middle Name:F
Last Name:COWDREY
Suffix:
Gender:F
Credentials:MED-CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 BRIDLE PATH LN
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-1575
Mailing Address - Country:US
Mailing Address - Phone:978-697-9722
Mailing Address - Fax:
Practice Address - Street 1:820 TURNPIKE ST STE 104
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-6125
Practice Address - Country:US
Practice Address - Phone:978-681-6605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA286235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist