Basic Information
Provider Information
NPI: 1053569343
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCGLASHEN
FirstName: RACHEL
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: MA, SLP-CF
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10000 W 75TH ST
Address2: SUITE 250
City: MERRIAM
State: KS
PostalCode: 662042209
CountryCode: US
TelephoneNumber: 8889131910
FaxNumber:  
Practice Location
Address1: 10000 W 75TH ST
Address2: SUITE 250
City: MERRIAM
State: KS
PostalCode: 662042209
CountryCode: US
TelephoneNumber: 9138941910
FaxNumber: 9138941174
Other Information
ProviderEnumerationDate: 08/29/2008
LastUpdateDate: 05/25/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X  Y Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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