Provider Demographics
NPI:1922256031
Name:SAFFO, RACHEL WHITTINGTON (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:WHITTINGTON
Last Name:SAFFO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:805 ALLEN HALL
Mailing Address - Street 2:PO BOX 6122
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-6122
Mailing Address - Country:US
Mailing Address - Phone:304-293-4241
Mailing Address - Fax:304-293-2905
Practice Address - Street 1:805 ALLEN HALL
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506-6122
Practice Address - Country:US
Practice Address - Phone:304-293-4241
Practice Address - Fax:304-293-2905
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLSA 8316235Z00000X
WVSLP-1287235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist