MEDICARE: RACHAEL BETH ROWLAND

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	103TR0400X	Rehabilitation Psychologist

General Provider Information

NPI Number	:	1801288832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHAEL BETH ROWLAND

Provider Business Mailing Address
First Line	:	8224 W CHARLESTON BLVD
Second Line	:	SUITE 1
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-9096
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8224 W CHARLESTON BLVD
Second Line	:	SUITE 1
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-9096
Country	:	US
Telephone Number	:	702-375-0018
Fax Number	:

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

Provider Enumeration Date	:	02/27/2015
Last Update Date	:	02/27/2015

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Directions to “ RACHAEL BETH ROWLAND ” Practice Location

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