Provider Demographics
NPI:1447848031
Name:HIKE, RACHEL ANN (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:HIKE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11785 MAGNOLIA FALLS DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-2586
Mailing Address - Country:US
Mailing Address - Phone:904-316-4430
Mailing Address - Fax:
Practice Address - Street 1:11785 MAGNOLIA FALLS DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32258-2586
Practice Address - Country:US
Practice Address - Phone:904-316-4430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA18168235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty