Individual
MS. RACHEL A TANNENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5401 MCAULEY DRIVE, YPSILANTI, MI 48197
(734) 786-2300
(734) 786-4915
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, STE J2000, ANN ARBOR, MI 48105
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361004572
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306421
—
MA
01
—
1308785
MCD MH
MA
01
—
2220002001
BCBS SA
MA
Enumeration date
08/23/2006
Last updated
03/20/2024
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