Provider Demographics
NPI:1811572480
Name:MCGUIRE, RACHEL (MS CCC/SLP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 WHITE BIRCH RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH ABINGTON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18411-1254
Mailing Address - Country:US
Mailing Address - Phone:570-687-2843
Mailing Address - Fax:
Practice Address - Street 1:636 WHITE BIRCH RD
Practice Address - Street 2:
Practice Address - City:SOUTH ABINGTON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18411-1254
Practice Address - Country:US
Practice Address - Phone:570-687-2843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist