Provider Demographics
NPI:1891743167
Name:SHARNETZKA, RACHEL A (MS, FAAA)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:A
Last Name:SHARNETZKA
Suffix:
Gender:F
Credentials:MS, FAAA
Other - Prefix:MISS
Other - First Name:RACHEL
Other - Middle Name:S
Other - Last Name:ABSHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:118 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW FREEDOM
Mailing Address - State:PA
Mailing Address - Zip Code:17349-9750
Mailing Address - Country:US
Mailing Address - Phone:717-227-8120
Mailing Address - Fax:
Practice Address - Street 1:1776 S QUEEN ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4628
Practice Address - Country:US
Practice Address - Phone:717-845-6321
Practice Address - Fax:717-845-6320
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT-005880-L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001967531 0001Medicaid
PAAT-005880-LOtherPA STATE LICENSE
PA073652Medicare ID - Type Unspecified
PA001967531 0001Medicaid