Provider Demographics
NPI:1619606464
Name:COLON, RACHEL JILLIAN (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:JILLIAN
Last Name:COLON
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 1:4818 SOLITARY DR
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-6553
Mailing Address - Country:US
Mailing Address - Phone:321-536-4663
Mailing Address - Fax:
Practice Address - Street 1:19451 E MAXWELL PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-8738
Practice Address - Country:US
Practice Address - Phone:204-855-1727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist