Provider Demographics
NPI:1699910687
Name:CUNNINGHAM, RACHEL J
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:J
Last Name:CUNNINGHAM
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 1:2801 COHO ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713-4574
Mailing Address - Country:US
Mailing Address - Phone:608-273-3232
Mailing Address - Fax:608-273-3426
Practice Address - Street 1:2801 COHO ST
Practice Address - Street 2:SUITE 300
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-4574
Practice Address - Country:US
Practice Address - Phone:608-273-3232
Practice Address - Fax:608-273-3426
Is Sole Proprietor?:No
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3133-154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist