Healthcare Provider Details

I. General information

NPI: 1497788491
Provider Name (Legal Business Name): RACHEL L MOVITZ PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 09/11/2021
Certification Date: 09/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 LITTLETON RD STE 108
WESTFORD MA
01886-4133
US

IV. Provider business mailing address

PO BOX 628
WESTFORD MA
01886-0019
US

V. Phone/Fax

Practice location:
  • Phone: 781-640-0900
  • Fax:
Mailing address:
  • Phone: 781-640-0900
  • Fax: 978-486-9516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number8263
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: