1699262261 NPI number — RACHEAL RENE MORSE SLP

Table of content: RACHEAL RENE MORSE SLP (NPI 1699262261)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699262261 NPI number — RACHEAL RENE MORSE SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORSE
Provider First Name:
RACHEAL
Provider Middle Name:
RENE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699262261
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/18/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1740 S BELL SCHOOL RD.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHERRY VALLEY
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
61016
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
815-332-1988
Provider Business Mailing Address Fax Number:
815-332-1988

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
THE SPEECH GARDEN, LTD.
Provider Second Line Business Practice Location Address:
1740 S BELL SCHOOL RD.
Provider Business Practice Location Address City Name:
CHERRY VALLEY
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
815-332-1988
Provider Business Practice Location Address Fax Number:
815-332-1988
Provider Enumeration Date:
04/18/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  146.005586 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)