Most Relevant Information
Provider Data
| NPI Number: | 1003536715 |
| Provider Name: | RACHAEL CONNELLY SPEECH PATHOLOGIST |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 1336559 |
Most Important Dates
| Enumeration Date: | 09/01/2022 |
| Last Updated: | 05/25/2023 |
Provider Practice Location
MT ZION ELEMENTARY
725 W MAIN ST
MT ZION
IL
62549
Practice Location Phone/Fax
| Phone: | 2178643631 |
| Fax: |
Provider Mailing Location
165 S DENNIS AVE
DECATUR
IL
625222636
Provider Mailing Phone/Fax
| Phone: | 8054521387 |
| Fax: |