Individual
RACHEL MENDITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5116 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7871
(410) 995-8274
Mailing address
5116 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7871
(410) 995-8274
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
05683
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE AT THIS TIME
NONE AT THIS TIME
—
Enumeration date
04/22/2016
Last updated
01/04/2017
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