Provider Demographics
NPI:1184288532
Name:SPILLANE, RACHEL ANN (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:SPILLANE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2720 VIRGINIA PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5095
Mailing Address - Country:US
Mailing Address - Phone:972-548-1990
Mailing Address - Fax:
Practice Address - Street 1:2720 VIRGINIA PKWY STE 300
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5095
Practice Address - Country:US
Practice Address - Phone:972-548-1990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-30
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111981235Z00000X
NC30004385235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist