Provider Demographics
NPI:1932983665
Name:SECCHIO, RACHEL F
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:F
Last Name:SECCHIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2512 NE WILLOW CREEK LN
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-7077
Mailing Address - Country:US
Mailing Address - Phone:816-678-5837
Mailing Address - Fax:
Practice Address - Street 1:4001 SW CHRISTIANSEN DR
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014-5508
Practice Address - Country:US
Practice Address - Phone:816-224-1370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023031426235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist