Provider Demographics
NPI:1811141443
Name:GOFF, RACHEL (MS)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:GOFF
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6798 CROSSWINDS DRIVE
Mailing Address - Street 2:SUITE E-102
Mailing Address - City:ST. PETE
Mailing Address - State:FL
Mailing Address - Zip Code:33710
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6798 CROSSWINDS DRIVE
Practice Address - Street 2:SUITE E-102
Practice Address - City:ST. PETE
Practice Address - State:FL
Practice Address - Zip Code:33710
Practice Address - Country:US
Practice Address - Phone:727-823-2529
Practice Address - Fax:727-289-7062
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ 4568235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist