Provider Demographics
NPI:1700030814
Name:RASCHELLA, CHRISTINA YOLANDA (MS, CCC-SLP/TSHH)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTINA
Middle Name:YOLANDA
Last Name:RASCHELLA
Suffix:
Gender:F
Credentials:MS, CCC-SLP/TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2273 E 73RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6601
Mailing Address - Country:US
Mailing Address - Phone:917-757-4536
Mailing Address - Fax:
Practice Address - Street 1:2273 E 73RD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-6601
Practice Address - Country:US
Practice Address - Phone:917-757-4536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015824-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist