Individual
MRS. DANA A WALLACE-RACHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
3634 GLENN LAKES LN, SUITE 200, MISSOURI CITY, TX 77459-4062
(281) 280-6608
(281) 261-2584
Mailing address
4910 AIRPORT AVE, BUILDING D, ROSENBERG, TX 77471-5759
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12272
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83824T
TEXANA BCBS
TX
Enumeration date
05/09/2007
Last updated
07/09/2007
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