Provider Demographics
NPI:1841512670
Name:SAKOFS, RACHEL ELANA (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:ELANA
Last Name:SAKOFS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:ELANA
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:2508 HUBER HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-7196
Mailing Address - Country:US
Mailing Address - Phone:646-546-5005
Mailing Address - Fax:
Practice Address - Street 1:2508 HUBER HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-7196
Practice Address - Country:US
Practice Address - Phone:646-546-5005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-21
Last Update Date:2010-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.009751235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist