Provider Demographics
NPI:1790181394
Name:GREGORY, RACHEL ALISE
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:ALISE
Last Name:GREGORY
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 1:1303 LONE OAK CIR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-3905
Mailing Address - Country:US
Mailing Address - Phone:601-540-7852
Mailing Address - Fax:
Practice Address - Street 1:1303 LONE OAK CIR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-3905
Practice Address - Country:US
Practice Address - Phone:703-243-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-08
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202007506235Z00000X
TN7073235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist