Individual
DR. HEATHER MICHELLE RAKESTRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1154 LINCOLN AVE, BLAKELY, PA 18447-1022
(570) 995-1510
Mailing address
1154 LINCOLN AVE, BLAKELY, PA 18447-1022
(570) 995-1510
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS018348
PA
103TC0700X
Clinical Psychologist
Primary
PS018348
PA
Other
Enumeration date
07/08/2011
Last updated
01/06/2026
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