Provider Demographics
NPI:1689156523
Name:RAWLINS, CHRISSY ANN (MA)
Entity Type:Individual
Prefix:
First Name:CHRISSY
Middle Name:ANN
Last Name:RAWLINS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3728 DECARO HOUSE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-3138
Mailing Address - Country:US
Mailing Address - Phone:567-303-4061
Mailing Address - Fax:
Practice Address - Street 1:3281 MAYFAIR PARK PL
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2282
Practice Address - Country:US
Practice Address - Phone:614-365-6169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.2018621-SP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist