Provider Demographics
NPI:1386085819
Name:DEUTSCH, RACHEL (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:DEUTSCH
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MRS
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:SPITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:40 HEWLETT ST
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06710-1615
Mailing Address - Country:US
Mailing Address - Phone:203-573-0782
Mailing Address - Fax:
Practice Address - Street 1:40 HEWLETT ST
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06710-1615
Practice Address - Country:US
Practice Address - Phone:203-573-0782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014229235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist