Individual
RACHEL B TANGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
(216) 286-6341
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6270
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000206681
UNISON
OH
01
—
000000526159
ANTHEM
OH
05
—
1018869190001
—
PA
01
—
2712765
BCMH
OH
05
—
2712765
—
OH
01
—
364071
WELLCARE
OH
01
—
7903953
AETNA
OH
Enumeration date
09/21/2006
Last updated
07/06/2011
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