Provider Demographics
NPI:1811736820
Name:PABIS, RACHAEL (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:PABIS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:
Other - Last Name:PABIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SPEECH PATHOLOGIST
Mailing Address - Street 1:1397 CHANEY ST
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-3005
Mailing Address - Country:US
Mailing Address - Phone:619-322-4205
Mailing Address - Fax:
Practice Address - Street 1:1397 CHANEY ST
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-3005
Practice Address - Country:US
Practice Address - Phone:619-322-4205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-20
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14498235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist