Provider Demographics
NPI:1821716341
Name:RICHARDSON, RACHEL LEANN (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LEANN
Last Name:RICHARDSON
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 1:1405 BLACK OAK DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76209-1609
Mailing Address - Country:US
Mailing Address - Phone:432-559-0052
Mailing Address - Fax:
Practice Address - Street 1:4000 COCKRILL DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75072-9030
Practice Address - Country:US
Practice Address - Phone:469-302-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114843235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist