Provider Demographics
NPI:1538406624
Name:WEICHERT, RACHEL A M (AUD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:A M
Last Name:WEICHERT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:A
Other - Last Name:MCNAMARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3468 COPLEY AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92116-1970
Mailing Address - Country:US
Mailing Address - Phone:619-948-6134
Mailing Address - Fax:858-279-7505
Practice Address - Street 1:3468 COPLEY AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92116-1970
Practice Address - Country:US
Practice Address - Phone:619-948-6134
Practice Address - Fax:858-279-7505
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-09
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2875235500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist