Doctor Name: | RACHEL WILHELM BUSH |
NPI Number: | 1447453790 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 001611 |
Business Practice Address: | 40 Horseshoe Hill Road Pound Ridge, NY - 10576 |
Business Phone Number: | 9147640322 |
Business Fax Number: | 9147641440 |
Mailing Address: | 40 Horseshoe Hill Road, POUND RIDGE |
State: | NY |
Postal Code: | 10576 |
Phone Number: | 9147640322 |
Fax Number: | 9147641440 |
NPI Enumeration Date: | 06/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 001611 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |