Individual
RACHELLE SILVER THEISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PARK AVE, NEW YORK, NY 10016-5802
(646) 754-4978
Mailing address
1 PARK AVE, NEW YORK, NY 10016-5802
(646) 754-4978
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
019812-1
NY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
019812-1
NY
Other
Enumeration date
09/29/2012
Last updated
02/07/2013
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