Rachel Toscano, M.S CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Tiger, GA

NPI 1962066316 · NPPES record last updated Apr 30, 2019

Key facts

NPI
1962066316
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
4649 E Wolf Creek Rd
Tiger, GA 30576-2946
Phone
(678) 357-5849
Fax
(706) 534-6750
NPI assigned
Apr 30, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 Science

Practice roles

OrganizationSpecialtyStatusNew patients
Fundamental Therapy Services, LLC Past Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

4649 E Wolf Creek Rd
Tiger, GA 30576-2946

Mailing address

252 Thunderhead LN # 234
Sky Valley, GA 30537-2657
Phone (828) 896-8806

Other providers in Tiger, GA

All providers in Tiger, GA · Speech-Language Pathologist in Georgia

Sources for this page

Verify at the official NPI Registry.