Provider Demographics
NPI:1295305597
Name:WORCESTER, RACHEL ALYSSA (AUD)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:ALYSSA
Last Name:WORCESTER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:ALYSSA
Other - Last Name:ROUSSEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:110 BENTWATER BAY LN
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77356-4649
Mailing Address - Country:US
Mailing Address - Phone:412-506-1978
Mailing Address - Fax:
Practice Address - Street 1:11777 FARM TO MARKET 1960 RD
Practice Address - Street 2:
Practice Address - City:W HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065
Practice Address - Country:US
Practice Address - Phone:281-469-4688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2021-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist