Provider Demographics
NPI:1740805720
Name:OLINGER, RACHAEL SUE (AUD)
Entity Type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:SUE
Last Name:OLINGER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:RACHAEL
Other - Middle Name:SUE
Other - Last Name:OLINGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:8897 MENTOR AVE
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-6211
Mailing Address - Country:US
Mailing Address - Phone:440-205-8848
Mailing Address - Fax:440-205-8818
Practice Address - Street 1:8897 MENTOR AVE
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-6211
Practice Address - Country:US
Practice Address - Phone:440-205-8848
Practice Address - Fax:440-205-9818
Is Sole Proprietor?:No
Enumeration Date:2020-06-15
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
237600000X
OHA.02268231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter