Provider Demographics
NPI:1235965955
Name:MCLAUGHLIN, RACHEL ANNA (CCC-SLP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANNA
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1614 E ROYALL PL APT C
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-1837
Mailing Address - Country:US
Mailing Address - Phone:651-208-7264
Mailing Address - Fax:
Practice Address - Street 1:2462 N PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53211-4451
Practice Address - Country:US
Practice Address - Phone:414-224-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6724-154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist