Provider Demographics
NPI:1841507126
Name:FRISHMAN, RACHEL (MA, CCC/SLP)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:FRISHMAN
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 1:7761 LAKE ADLON DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92119-2519
Mailing Address - Country:US
Mailing Address - Phone:516-721-2291
Mailing Address - Fax:
Practice Address - Street 1:4858 MERCURY ST STE 106
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-2128
Practice Address - Country:US
Practice Address - Phone:858-560-0973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-08
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist