Provider Demographics
NPI:1720219744
Name:ALEXY, RACHEL (HIS)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:ALEXY
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 12TH AVE STE B
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98632-2458
Mailing Address - Country:US
Mailing Address - Phone:360-577-7702
Mailing Address - Fax:360-636-5447
Practice Address - Street 1:841 12TH AVE STE B
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-2458
Practice Address - Country:US
Practice Address - Phone:360-577-7702
Practice Address - Fax:360-636-5447
Is Sole Proprietor?:No
Enumeration Date:2009-08-07
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHA60088345237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist