Doctor Name: | MS. RACHEL DIANA TRAMELL |
NPI Number: | 1639300734 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | |
Business Practice Address: | 3741 William St Apt 1 Lake Park, FL - 334031622 |
Business Phone Number: | 5616254674 |
Business Fax Number: | |
Mailing Address: | 3741 William Street Apt 1, LAKE PARK |
State: | FL |
Postal Code: | 33403 |
Phone Number: | 5616254674 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2009 |
NPI Last Update Date: | 08/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |