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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RAE FAZENBAKER

Deactivated Sole Proprietor

RAE FAZENBAKER is a Speech, Language and Hearing Specialist healthcare provider located in WESTERNPORT, Maryland. NPI 1184023533 is deactivated in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · WESTERNPORT, MD

This NPI has been deactivated. The record was deactivated on March 18, 2019. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1184023533
Provider Type
Individual
Gender
Female
NPI Issued
Aug 21, 2014 (4.572602739726 yrs)
Last Updated
Jun 14, 2019
Deactivated
Mar 18, 2019
License
07242 (MD)
Sole Proprietor
Yes

Practice Information

Address
128 KALBAUGH ST
WESTERNPORT, MD, 215621511
Browse MD providers · Browse ZIP 21562
Phone
3018763743
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in WESTERNPORT, MD

Name Credential NPI
MRS. VALERIE MAE RAVENSCROFT SLP 1447320395
MRS. CRYSTAL KNOTTS SLP 1669718995
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.