Basic Information
Provider Information
NPI: 1457887135
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCARAFIOTTI
FirstName: RACHEL
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: SLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: HOEHLE
OtherFirstName: RACHEL
OtherMiddleName: A
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 301 PERKINS DR
Address2: STE B
City: LAS CRUCES
State: NM
PostalCode: 880053248
CountryCode: US
TelephoneNumber: 5756523155
FaxNumber: 5756524104
Practice Location
Address1: 1681 HICKORY LOOP
Address2:  
City: LAS CRUCES
State: NM
PostalCode: 880056502
CountryCode: US
TelephoneNumber: 5756473773
FaxNumber: 5756473777
Other Information
ProviderEnumerationDate: 05/02/2017
LastUpdateDate: 09/04/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X6224NMY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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