Provider Demographics
NPI:1801357165
Name:MARQUARDT, RACHEL (MA,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:MARQUARDT
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72286 KUSTENMACHER RD
Mailing Address - Street 2:
Mailing Address - City:ABITA SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70420-3508
Mailing Address - Country:US
Mailing Address - Phone:985-463-6890
Mailing Address - Fax:
Practice Address - Street 1:72286 KUSTENMACHER RD
Practice Address - Street 2:
Practice Address - City:ABITA SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70420-3508
Practice Address - Country:US
Practice Address - Phone:985-463-6890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-28
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8169235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist