Provider Demographics
NPI:1881890531
Name:LEMIRE, RACHAEL C
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:C
Last Name:LEMIRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:LEMIRE
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:16 CAMBRIDGE TER # 2
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-2621
Mailing Address - Country:US
Mailing Address - Phone:617-331-5792
Mailing Address - Fax:
Practice Address - Street 1:16 CAMBRIDGE TER # 2
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-2621
Practice Address - Country:US
Practice Address - Phone:617-331-5792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5573235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist