Healthcare Provider Details

I. General information

NPI: 1467208629
Provider Name (Legal Business Name): RACHEL YOUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2024
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 N 8TH ST
LEBANON PA
17046-5011
US

IV. Provider business mailing address

266 GRANDVIEW DR
HUMMELSTOWN PA
17036-9256
US

V. Phone/Fax

Practice location:
  • Phone: 253-310-1168
  • Fax:
Mailing address:
  • Phone: 253-310-1168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: