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NPI Code Detail

MEDICARE: RACHEL PASTER

MEDICARE: RACHEL PASTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2103T00000XPsychologist10045MA

General Provider Information

NPI Number : 1295068955
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL PASTER
Provider Business Mailing Address
First Line : 72 E DEDHAM ST # 74
Second Line :
City : BOSTON
State : MA
Zip : 02118-2315
Country : US
Telephone Number : 617-939-5420
Fax Number :
Provider Business Practice Location Address
First Line : 72 E DEDHAM ST # 74
Second Line :
City : BOSTON
State : MA
Zip : 02118-2315
Country : US
Telephone Number : 617-939-5420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2009
Last Update Date : 08/26/2020

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Directions to “ RACHEL PASTER ” Practice Location

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