Provider Demographics
NPI:1770216848
Name:WEBSTER, RACHEL M (MA, CF-SLP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:M
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1080 BLUFF PASS N
Mailing Address - Street 2:
Mailing Address - City:CHASKA
Mailing Address - State:MN
Mailing Address - Zip Code:55318-9710
Mailing Address - Country:US
Mailing Address - Phone:952-449-1350
Mailing Address - Fax:
Practice Address - Street 1:300 CATLIN ST STE 101
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:MN
Practice Address - Zip Code:55313-2035
Practice Address - Country:US
Practice Address - Phone:763-684-3888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist