MEDICARE: RACHAEL UNGER PSY.D.

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	PY9585	FL

General Provider Information

NPI Number	:	1811340003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHAEL UNGER PSY.D.

Provider Business Mailing Address
First Line	:	2425 E COMMERCIAL BLVD
Second Line	:	301
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4034
Country	:	US
Telephone Number	:	908-433-2461
Fax Number	:

Provider Business Practice Location Address
First Line	:	2425 E COMMERCIAL BLVD
Second Line	:	301
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4034
Country	:	US
Telephone Number	:	908-433-2461
Fax Number	:

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

Provider Enumeration Date	:	07/22/2016
Last Update Date	:	07/22/2016

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