Individual
LINDA ELIZABETH RATTLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RN
Contact information
Practice address
11 BALA AVE, BALA CYNWYD, PA 19004-3201
(610) 617-1747
(610) 352-8255
Mailing address
416 LARCHWOOD AVE, UPPER DARBY, PA 19082-2019
(610) 352-9933
(610) 352-8255
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
RN307313L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177115000
MAGELLAN BEHAVIORAL HEALT
PA
01
—
7266406
AETNA BEHAVIORAL HEALTH
PA
01
—
RA602943
PREMIER BLUE SHIELD
PA
Enumeration date
09/25/2006
Last updated
07/08/2007
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