Provider Demographics
NPI:1336553262
Name:FOSTER, RACHEL NOEL (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:NOEL
Last Name:FOSTER
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 1:1105 NE 5TH TER APT 4
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-4929
Mailing Address - Country:US
Mailing Address - Phone:954-632-3286
Mailing Address - Fax:
Practice Address - Street 1:1105 NE 5TH TER APT 4
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-4929
Practice Address - Country:US
Practice Address - Phone:954-632-3286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-18
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA13592235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist