Provider Demographics
NPI:1205154309
Name:BETTIS, RACHEL (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:BETTIS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 DOVIE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-6680
Mailing Address - Country:US
Mailing Address - Phone:479-462-9019
Mailing Address - Fax:479-339-8810
Practice Address - Street 1:2500 DOVIE ST
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-6680
Practice Address - Country:US
Practice Address - Phone:479-462-9019
Practice Address - Fax:479-339-8810
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist