Provider Demographics
NPI:1134580715
Name:MARKFELD, RACHEL SARA (MS CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:SARA
Last Name:MARKFELD
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 1:4 HIGHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-2214
Mailing Address - Country:US
Mailing Address - Phone:631-875-8032
Mailing Address - Fax:
Practice Address - Street 1:4 HIGHWOOD DR
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-2214
Practice Address - Country:US
Practice Address - Phone:631-875-8032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-10
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12156947235Z00000X
DC1215647235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist