Rachel Nicole Archibald, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Lexington, MA

NPI 1679339840 · NPPES record last updated Feb 26, 2024

Key facts

NPI
1679339840
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
78682 (MA)
Practice address
16 Clarke St
Lexington, MA 02421-4988
Phone
(978) 254-1002
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
78682MAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 78682 MA Yes

Addresses

Primary practice location

16 Clarke St
Lexington, MA 02421-4988

Mailing address

930 E 4TH St Unit B
South Boston, MA 02127-5649
Phone (781) 361-1608

Other providers in Lexington, MA

All providers in Lexington, MA · Speech-Language Pathologist in Massachusetts

Sources for this page

Verify at the official NPI Registry.