Provider Demographics
NPI:1780229245
Name:GOLUB, RACHEL SHERI
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:SHERI
Last Name:GOLUB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 MARLBOROUGH RD APT C2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-6561
Mailing Address - Country:US
Mailing Address - Phone:781-201-9525
Mailing Address - Fax:
Practice Address - Street 1:614 MARLBOROUGH RD APT C2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-6561
Practice Address - Country:US
Practice Address - Phone:781-201-9525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-08
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist