Individual
MRS. RAQUEL MEDINA-RAMPOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
332 W BENSON ST, DECATUR, GA 30030-4312
(787) 448-4131
Mailing address
332 W BENSON ST, DECATUR, GA 30030-4312
(787) 448-4131
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
010421
GA
235Z00000X
Speech-Language Pathologist
17658
OR
235Z00000X
Speech-Language Pathologist
Primary
3077
PR
Other
Enumeration date
12/02/2015
Last updated
08/05/2026
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