Provider Demographics
NPI:1053920728
Name:ACKERMAN, RACHEL (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:ACKERMAN
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3152 BITTERSWEET DR
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:IN
Mailing Address - Zip Code:47546-9515
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:721 W 13TH ST STE 222
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:IN
Practice Address - Zip Code:47546-1817
Practice Address - Country:US
Practice Address - Phone:812-996-0227
Practice Address - Fax:812-996-0142
Is Sole Proprietor?:No
Enumeration Date:2020-07-28
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002725A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist