Provider Demographics
NPI:1639314784
Name:RAKOCZY, DARLA (MCD CCC-SLP)
Entity type:Individual
Prefix:
First Name:DARLA
Middle Name:
Last Name:RAKOCZY
Suffix:
Gender:F
Credentials:MCD CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3926 FOOTHILLS DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-3569
Mailing Address - Country:US
Mailing Address - Phone:318-572-1819
Mailing Address - Fax:
Practice Address - Street 1:3926 FOOTHILLS DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-3569
Practice Address - Country:US
Practice Address - Phone:318-572-1819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0006543235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist