Provider Demographics
NPI:1285768317
Name:HATCHER, RACHEL ANNAH (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:ANNAH
Last Name:HATCHER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2804 BROOKLINE CT
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-1194
Mailing Address - Country:US
Mailing Address - Phone:317-417-0299
Mailing Address - Fax:317-873-3825
Practice Address - Street 1:2804 BROOKLINE CT
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-1194
Practice Address - Country:US
Practice Address - Phone:317-417-0299
Practice Address - Fax:317-873-3825
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22003253A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200636170Medicaid