Individual
RACHAEL MARIEL POTTHAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
559 ZOR SHRINE PL, MADISON, WI 53719-2068
(727) 580-9707
Mailing address
2409 PARMENTER ST APT 117, MIDDLETON, WI 53562-2687
(727) 580-9707
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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