Provider Demographics
NPI:1528293198
Name:RAKOW, CHRISTINA M
Entity type:Individual
Prefix:MISS
First Name:CHRISTINA
Middle Name:M
Last Name:RAKOW
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 1:2131 GARRISON DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-7281
Mailing Address - Country:US
Mailing Address - Phone:214-886-7155
Mailing Address - Fax:
Practice Address - Street 1:1050 WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-2600
Practice Address - Country:US
Practice Address - Phone:972-772-1175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18777235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist