Active NPIIndividual providerSole proprietor

Rachel Petrin, MS CCC-SLP

Speech-Language Pathologist, in Mount Laurel, New Jersey

NPI Number1407394489
Practice location
204 Ark RD # 103C, Mount Laurel, NJ 08054-3100
Fax
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Last updated
January 17, 2024

Rachel Petrin is a Speech-Language Pathologist, based in Mount Laurel, NJ. Rachel Petrin practices in Mount Laurel, NJ and has the professional credentials of MS CCC-SLP. The NPI Number for Rachel Petrin is 1407394489 and holds a License No. 41YS00777700 (NJ). The current practice location address for Rachel Petrin is 204 Ark RD # 103C, Mount Laurel, NJ 08054-3100 and can be reached out via phone at 856-492-1355.

Provider Profile Details

NPI Number
1407394489
Provider Name
Rachel Petrin
Credential
MS CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
204 Ark RD # 103C, Mount Laurel, NJ 08054-3100
Phone Number
856-492-1355
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Other Names
Rachel Egbert (Former Name)
Provider Enumeration Date
February 9, 2017
Last Update Date
January 17, 2024
Certification Date
January 17, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
204 Ark RD # 103C
Mount Laurel, NJ 08054-3100
Zip
08054-3100
Phone Number
856-492-1355
Mount Laurel, NJ 08054Get directions →

Provider Business Mailing Address Details

Address
922 Kearny Ave
Forked River, NJ 08731-1119
City
Forked River
State
NJ
Zip
08731-1119
Phone Number
609-713-2070

License Information

License Number
41YS00777700
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rachel Petrin, MS CCC-SLP?

The NPI number of Rachel Petrin, MS CCC-SLP is 1407394489. It was assigned on February 9, 2017 and is currently active in the NPPES registry.

What is the specialty of Rachel Petrin, MS CCC-SLP?

Rachel Petrin, MS CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00777700.

Where does Rachel Petrin, MS CCC-SLP practice?

The practice location is 204 Ark RD # 103C, Mount Laurel, NJ 08054-3100. The office can be reached at 856-492-1355 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407394489 directly on the NPPES registry website.

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