Provider Demographics
NPI:1316564933
Name:SPENCER, RACHEL MARIE (AUD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:MARIE
Last Name:SPENCER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:MARIE
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3837 ATTUCKS DR
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-6082
Mailing Address - Country:US
Mailing Address - Phone:614-457-5848
Mailing Address - Fax:
Practice Address - Street 1:3837 ATTUCKS DR
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-6082
Practice Address - Country:US
Practice Address - Phone:614-457-5848
Practice Address - Fax:614-553-7314
Is Sole Proprietor?:No
Enumeration Date:2020-06-30
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY2375231H00000X
OHA.02501231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist