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NPI Code Detail

MEDICARE: RACHELE COSTARELLA M.ED., ED.S.

MEDICARE: RACHELE COSTARELLA M.ED., ED.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TS0200XSchool PsychologistOH3245695OH

General Provider Information

NPI Number : 1295371524
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHELE COSTARELLA M.ED., ED.S.
Provider Business Mailing Address
First Line : 200 W NORTH AVE
Second Line :
City : EAST PALESTINE
State : OH
Zip : 44413-1772
Country : US
Telephone Number : 330-426-5308
Fax Number :
Provider Business Practice Location Address
First Line : 200 W NORTH AVE
Second Line :
City : EAST PALESTINE
State : OH
Zip : 44413-1772
Country : US
Telephone Number : 330-426-5308
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2019
Last Update Date : 11/21/2019

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Directions to “ RACHELE COSTARELLA M.ED., ED.S.” Practice Location

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