Provider Demographics
NPI:1184234437
Name:PERKINS, RACHEL HUGHEY (SLP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:HUGHEY
Last Name:PERKINS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12470 BROWN RD
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-6835
Mailing Address - Country:US
Mailing Address - Phone:225-764-1001
Mailing Address - Fax:
Practice Address - Street 1:12470 BROWN RD
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-6835
Practice Address - Country:US
Practice Address - Phone:225-664-1001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-02
Last Update Date:2020-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist