Provider Demographics
NPI:1053967729
Name:SPINUZZA, RACHEL C (AUD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:C
Last Name:SPINUZZA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4320 SUWANEE DAM RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-1951
Mailing Address - Country:US
Mailing Address - Phone:404-297-4320
Mailing Address - Fax:678-710-9430
Practice Address - Street 1:3607 MANOR RD STE 101
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-5818
Practice Address - Country:US
Practice Address - Phone:512-478-2273
Practice Address - Fax:512-472-0921
Is Sole Proprietor?:No
Enumeration Date:2019-08-17
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81211231H00000X
GAAUD004205231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist