Provider Demographics
NPI:1629889761
Name:CHATWIN, RACHEL DIANNE (MA, CF-SLP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:DIANNE
Last Name:CHATWIN
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3940 RANCHERO DR STE 100
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-3900
Mailing Address - Country:US
Mailing Address - Phone:734-834-9748
Mailing Address - Fax:866-728-9846
Practice Address - Street 1:3940 RANCHERO DR STE 100
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-3900
Practice Address - Country:US
Practice Address - Phone:734-834-9748
Practice Address - Fax:866-728-9846
Is Sole Proprietor?:No
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7152001079235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist