Provider Demographics
NPI:1205711942
Name:BORG, RACHEL (MS CF-SLP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:BORG
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50550 BRISTOL ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46637-2067
Mailing Address - Country:US
Mailing Address - Phone:574-835-6818
Mailing Address - Fax:
Practice Address - Street 1:2901 E BRISTOL ST STE C
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46514-4385
Practice Address - Country:US
Practice Address - Phone:574-344-5474
Practice Address - Fax:574-807-9598
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN46004749A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist