Individual
MS. RACHEL DIANE ISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCC/SLP
Contact information
Practice address
589 N MAIN ST, ONEIDA, TN 37841-2515
(423) 215-3029
(423) 286-3787
Mailing address
589 N MAIN ST, ONEIDA, TN 37841-2515
(423) 215-3029
(423) 286-3787
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1655
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1502185
—
TN
01
—
4265417
BLUE CROSS BLUE SHIELD
TN
01
—
730447
OPTUMHEALTH
TN
Enumeration date
01/24/2007
Last updated
01/29/2015
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