Healthcare Provider Details

I. General information

NPI: 1871035436
Provider Name (Legal Business Name): RACHEL HERSHBERGER CNS LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2016
Last Update Date: 08/19/2024
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 W LANCASTER AVE STE 215
DEVON PA
19333-1585
US

IV. Provider business mailing address

237 W LANCASTER AVE STE 215
DEVON PA
19333-1585
US

V. Phone/Fax

Practice location:
  • Phone: 484-693-0660
  • Fax: 484-643-4500
Mailing address:
  • Phone: 484-693-0660
  • Fax: 484-643-4500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberDN006056
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: