Provider Demographics
NPI:1972882397
Name:HILL, RACHEL LEOPOLD (MSCCCSLP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LEOPOLD
Last Name:HILL
Suffix:
Gender:F
Credentials:MSCCCSLP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ANN
Other - Last Name:LEOPOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSCCCSLP
Mailing Address - Street 1:215 TROUT LN
Mailing Address - Street 2:
Mailing Address - City:NOKOMIS
Mailing Address - State:FL
Mailing Address - Zip Code:34275-2767
Mailing Address - Country:US
Mailing Address - Phone:941-650-3950
Mailing Address - Fax:
Practice Address - Street 1:1621 RANCH RD
Practice Address - Street 2:
Practice Address - City:NOKOMIS
Practice Address - State:FL
Practice Address - Zip Code:34275-1708
Practice Address - Country:US
Practice Address - Phone:941-412-9333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA7279235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist