Provider Demographics
NPI:1962937763
Name:SCHRANK, RACHEL ELAINE
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ELAINE
Last Name:SCHRANK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ELAINE
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:815 N 52ND ST
Mailing Address - Street 2:APT. 2247
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-6734
Mailing Address - Country:US
Mailing Address - Phone:602-618-6649
Mailing Address - Fax:
Practice Address - Street 1:815 N 52ND ST
Practice Address - Street 2:APT. 2247
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-6734
Practice Address - Country:US
Practice Address - Phone:602-618-6649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-29
Last Update Date:2017-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA105212355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant