Individual
DR. RACHEL CRYSTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
173 MOUNT AUBURN ST, WATERTOWN, MA 02472-4005
(617) 928-0848
(617) 928-0860
Mailing address
4 HIGHLAND TER, NEWTONVILLE, MA 02460-1813
(617) 928-0848
(617) 928-0860
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6692
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010229
HP
MA
01
—
162374
VALUE OPTIONS
MA
01
—
6279191
UBH
MA
01
—
767925
TUFTS HEALTH PLAN
MA
01
—
W05412
BLUE CROSS
MA
Enumeration date
04/09/2007
Last updated
07/08/2007
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