Provider Demographics
NPI:1699262261
Name:MORSE, RACHEAL RENE (SLP)
Entity type:Individual
Prefix:
First Name:RACHEAL
Middle Name:RENE
Last Name:MORSE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 S BELL SCHOOL RD.
Mailing Address - Street 2:
Mailing Address - City:CHERRY VALLEY
Mailing Address - State:IL
Mailing Address - Zip Code:61016
Mailing Address - Country:US
Mailing Address - Phone:815-332-1988
Mailing Address - Fax:815-332-1988
Practice Address - Street 1:THE SPEECH GARDEN, LTD.
Practice Address - Street 2:1740 S BELL SCHOOL RD.
Practice Address - City:CHERRY VALLEY
Practice Address - State:IL
Practice Address - Zip Code:61016
Practice Address - Country:US
Practice Address - Phone:815-332-1988
Practice Address - Fax:815-332-1988
Is Sole Proprietor?:No
Enumeration Date:2018-04-18
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.005586235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist