Healthcare Provider Details

I. General information

NPI: 1780888719
Provider Name (Legal Business Name): RACHEL BETH HOTT PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 08/10/2020
Certification Date: 08/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 E 12TH ST 402
NEW YORK NY
10003-4403
US

IV. Provider business mailing address

30 BAYARD ST APT 10B
BROOKLYN NY
11211-1230
US

V. Phone/Fax

Practice location:
  • Phone: 212-647-0860
  • Fax: 973-509-2326
Mailing address:
  • Phone: 646-484-0012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number015813-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: