Provider Demographics
NPI:1265953327
Name:WAHL, RACHEL (AUD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:WAHL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3341 BEALE AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-1549
Mailing Address - Country:US
Mailing Address - Phone:814-944-5357
Mailing Address - Fax:
Practice Address - Street 1:353 E 2ND ST
Practice Address - Street 2:
Practice Address - City:COUDERSPORT
Practice Address - State:PA
Practice Address - Zip Code:16915-1718
Practice Address - Country:US
Practice Address - Phone:814-274-9097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist