Provider Demographics
NPI:1356594824
Name:LAUBACH-KREEGER, RACHELLE CHRISTINE (MA CCC/SLP)
Entity type:Individual
Prefix:
First Name:RACHELLE
Middle Name:CHRISTINE
Last Name:LAUBACH-KREEGER
Suffix:
Gender:F
Credentials:MA CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 DUCKTOWN RD
Mailing Address - Street 2:
Mailing Address - City:HELLAM
Mailing Address - State:PA
Mailing Address - Zip Code:17406-9114
Mailing Address - Country:US
Mailing Address - Phone:717-252-3905
Mailing Address - Fax:
Practice Address - Street 1:2400 KINGSTON COURT
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-9114
Practice Address - Country:US
Practice Address - Phone:717-755-8811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL004125L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist