Provider Demographics
NPI:1588910699
Name:STAUB, RACHEL SARIT (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:SARIT
Last Name:STAUB
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:SARIT
Other - Last Name:NARKUNSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:134 MONTAGUE ST
Mailing Address - Street 2:APT 5
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201
Mailing Address - Country:US
Mailing Address - Phone:718-630-6180
Mailing Address - Fax:718-630-7437
Practice Address - Street 1:134 MONTAGUE ST
Practice Address - Street 2:APT 5
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201
Practice Address - Country:US
Practice Address - Phone:917-664-8276
Practice Address - Fax:718-630-7604
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-26
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021896235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist