Provider Demographics
NPI:1699150367
Name:YORDON, RACHEL RUMINSKI (HAS)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:RUMINSKI
Last Name:YORDON
Suffix:
Gender:F
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 MAIN ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CHIPLEY
Mailing Address - State:FL
Mailing Address - Zip Code:32428-5974
Mailing Address - Country:US
Mailing Address - Phone:850-638-9350
Mailing Address - Fax:850-638-2276
Practice Address - Street 1:1611 MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:CHIPLEY
Practice Address - State:FL
Practice Address - Zip Code:32428-5974
Practice Address - Country:US
Practice Address - Phone:850-638-9350
Practice Address - Fax:850-638-2276
Is Sole Proprietor?:No
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5073237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist