Provider Demographics
NPI:1821571639
Name:SCHWARTZBERG, RACHEL LEE (MS)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:LEE
Last Name:SCHWARTZBERG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 W RIDGE PIKE STE 479
Mailing Address - Street 2:
Mailing Address - City:LINFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-1415
Mailing Address - Country:US
Mailing Address - Phone:843-698-9534
Mailing Address - Fax:
Practice Address - Street 1:451 W RIDGE PIKE STE 479
Practice Address - Street 2:
Practice Address - City:LINFIELD
Practice Address - State:PA
Practice Address - Zip Code:19468-1415
Practice Address - Country:US
Practice Address - Phone:484-369-8953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-08
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA77349235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist