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NPI Code Detail

MEDICARE: RACHEL CYAN PETRIE

MEDICARE: RACHEL CYAN PETRIE
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1538001151
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL CYAN PETRIE
Provider Business Mailing Address
First Line : 200 W ARBOR DRIVE
Second Line : MAIL CODE: 0304
City : SAN DIEGO
State : CA
Zip : 92103-9000
Country : US
Telephone Number : 858-775-5750
Fax Number :
Provider Business Practice Location Address
First Line : 200 W ARBOR DRIVE
Second Line : MAIL CODE: 0304
City : SAN DIEGO
State : CA
Zip : 92103-9000
Country : US
Telephone Number : 858-775-5750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ RACHEL CYAN PETRIE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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