Provider Demographics
NPI:1790814192
Name:SCHNURR, RACHEL LESLIE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:LESLIE
Last Name:SCHNURR
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MISS
Other - First Name:RACHEL
Other - Middle Name:LESLIE
Other - Last Name:WERNOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3 DENISE CT
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:NY
Mailing Address - Zip Code:11780-1606
Mailing Address - Country:US
Mailing Address - Phone:631-366-2453
Mailing Address - Fax:
Practice Address - Street 1:3 DENISE CT
Practice Address - Street 2:
Practice Address - City:SAINT JAMES
Practice Address - State:NY
Practice Address - Zip Code:11780-1606
Practice Address - Country:US
Practice Address - Phone:631-366-2453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011234-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist