Provider Demographics
NPI:1609146307
Name:CRAWFORD-BROWN, RACHELLE LYNETTE (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:RACHELLE
Middle Name:LYNETTE
Last Name:CRAWFORD-BROWN
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 1:5209 CHESTNUT MANOR CT
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3175
Mailing Address - Country:US
Mailing Address - Phone:301-537-4385
Mailing Address - Fax:
Practice Address - Street 1:7420 MARLBORO PIKE
Practice Address - Street 2:
Practice Address - City:DISTRICT HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20747-4343
Practice Address - Country:US
Practice Address - Phone:301-736-0240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05833235Z00000X
DCSLP000154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist