Rachel Christian, MA

Individual provider Active NPI Speech-Language Pathologist · Johnston, IA

NPI 1346979002 · NPPES record last updated Aug 11, 2022

Key facts

NPI
1346979002
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
108463 (IA)
Practice address
5406 Merle Hay Rd
Johnston, IA 50131-1209
Phone
(515) 727-1471
Fax
(515) 461-2233
NPI assigned
Jun 8, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
108463IAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 108463 IA Yes

Addresses

Primary practice location

5406 Merle Hay Rd
Johnston, IA 50131-1209

Mailing address

5406 Merle Hay Rd
Johnston, IA 50131-1209
Phone (515) 727-1471

Other names

  • Rachel Canon Former name

Other providers in Johnston, IA

All providers in Johnston, IA · Speech-Language Pathologist in Iowa

Sources for this page

Verify at the official NPI Registry.