Provider Demographics
NPI:1427293513
Name:RYAN, RACHEL SCENA (MA CCC SLP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:SCENA
Last Name:RYAN
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:FRANCES
Other - Last Name:SCENA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:143 ROBBY LN
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1105
Mailing Address - Country:US
Mailing Address - Phone:516-647-6744
Mailing Address - Fax:
Practice Address - Street 1:143 ROBBY LN
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1105
Practice Address - Country:US
Practice Address - Phone:516-647-6744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007334235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist