Provider Demographics
NPI:1154200236
Name:COCKRELL, RACHEL LEE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LEE
Last Name:COCKRELL
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3004 BLACK BRIAR DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-8934
Mailing Address - Country:US
Mailing Address - Phone:678-577-3464
Mailing Address - Fax:
Practice Address - Street 1:100 AZALEA DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-8113
Practice Address - Country:US
Practice Address - Phone:662-506-3798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS-5232235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist