Individual
RACHEL C VANDERKRUIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
55 FRUIT ST, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114-2621
(617) 726-3648
Mailing address
55 FRUIT ST, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114-2621
(617) 726-3648
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11515
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
06/04/2019
Last updated
08/04/2021
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