Provider Demographics
NPI:1457320251
Name:RAUCH, HEATHER (MS, CCC-A)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:RAUCH
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:L
Other - Last Name:SACZYNSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 LONGWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5724
Mailing Address - Country:US
Mailing Address - Phone:617-355-6000
Mailing Address - Fax:
Practice Address - Street 1:333 LONGWOOD AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5711
Practice Address - Country:US
Practice Address - Phone:617-355-0689
Practice Address - Fax:617-730-0320
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAAUD801231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist