Healthcare Provider Details

I. General information

NPI: 1932586781
Provider Name (Legal Business Name): RACHEL ALTVATER PSY.D., RPT-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2015
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 BUCKEYSTOWN PIKE STE 360
FREDERICK MD
21704-8360
US

IV. Provider business mailing address

5740 EXECUTIVE DR STE 212-216
CATONSVILLE MD
21228-1766
US

V. Phone/Fax

Practice location:
  • Phone: 443-846-0404
  • Fax:
Mailing address:
  • Phone: 443-478-3619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810005918
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number06000
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY1001454
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: