Provider Demographics
NPI:1306648613
Name:LOMBARDI, RACHEL ROBYN
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:ROBYN
Last Name:LOMBARDI
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 1:109 MCCABE AVE APT 206
Mailing Address - Street 2:
Mailing Address - City:BRADLEY BEACH
Mailing Address - State:NJ
Mailing Address - Zip Code:07720-1469
Mailing Address - Country:US
Mailing Address - Phone:973-864-4152
Mailing Address - Fax:
Practice Address - Street 1:200 RUES LN
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-3600
Practice Address - Country:US
Practice Address - Phone:732-613-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035208235Z00000X
NJ41YS01262200235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist