MEDICARE: BAMBI RATTNER PSYD

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
1	103TC0700X	Clinical Psychologist	013991-01	NY
2	103TC0700X	Clinical Psychologist	7531	MA

General Provider Information

NPI Number	:	1467575035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAMBI RATTNER PSYD

Provider Business Mailing Address
First Line	:	43 CENTER ST STE 304
Second Line	:
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060-3062
Country	:	US
Telephone Number	:	877-372-2624
Fax Number	:

Provider Business Practice Location Address
First Line	:	43 CENTER ST STE 304
Second Line	:
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060-3062
Country	:	US
Telephone Number	:	617-429-7927
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	01/27/2026

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