Tannenbaum, Rachel A

Tannenbaum, Rachel A is an individual health care provider with primary practice located at 5401 Mcauley Drive , Ypsilanti MI 48197. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Tannenbaum, Rachel A can be contacted via phone (734) 786-2300.

Contact Information

Primary practice address
5401 Mcauley Drive Ypsilanti MI 48197
Phone: (734) 786-2300
Fax: (734) 786-4915
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6361004572 Michigan

Profile Details

NPI number 1235245846
LBN Legal business name Tannenbaum, Rachel A
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Mar 20th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235245846 NPPES
Massachusetts Other 2220002001 BCBS SA
Massachusetts MEDICAID 1306421 BCBS SA
Massachusetts Other 1308785 BCBS SA

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