National Provider Identifier
Rachel L Macmullen, NYS LIC SLP
Rachel L Macmullen, NYS LIC SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Hilton, NY and a listed phone number of (585) 478-0603.
Profile Overview
- NPI
- 1407127483
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- January 23, 2012
- Last Updated
- February 19, 2020
Practice Location
- 169 Country Village Ln
- Hilton, NY 14468-9591
Phone: (585) 478-0603
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1407127483
- Entity Type
- Individual
- Last Name
- Macmullen
- First Name
- Rachel
- Middle Name
- L
- Name Prefix
- MS.
- Credential
- NYS LIC SLP
- Provider Other Last Name
- Macmullen
- Provider Other First Name
- Rachel
- Provider Other Credential Text
- M.S.CCC-SLP
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 169 Country Village Ln
- Mailing City
- Hilton
- Mailing State
- NY
- Mailing ZIP Code
- 14468-9591
- Mailing Country
- US
- Mailing Phone
- (585) 478-0603
- Practice Street Address
- 169 Country Village Ln
- Practice City
- Hilton
- Practice State
- NY
- Practice ZIP Code
- 14468-9591
- Practice Country
- US
- Practice Phone
- (585) 478-0603
- Enumeration Date
- January 23, 2012
- Last Updated
- February 19, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- February 19, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)