Provider Demographics
NPI:1780304584
Name:HARRAH, RACHEL (SLP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:HARRAH
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 ROBERT C BYRD DR
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-8644
Mailing Address - Country:US
Mailing Address - Phone:304-222-2329
Mailing Address - Fax:304-894-8900
Practice Address - Street 1:1769 ROBERT C BYRD DRIVE
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-8644
Practice Address - Country:US
Practice Address - Phone:304-860-1048
Practice Address - Fax:304-860-1049
Is Sole Proprietor?:No
Enumeration Date:2022-08-31
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV0968235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1174282065OtherGROUP NPI