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NPI Code Detail

MEDICARE: RACHEL GOW, PHD, LLC

MEDICARE: RACHEL GOW, PHD, LLC
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
1103TC1900XCounseling Psychologist0810004314VA

General Provider Information

NPI Number : 1518336148
Entity Type Code : Organization
Provider Name (Legal Business Name) : RACHEL GOW, PHD, LLC
Provider Business Mailing Address
First Line : 5501 KINGSBURY RD
Second Line :
City : RICHMOND
State : VA
Zip : 23226-2153
Country : US
Telephone Number : 804-814-6821
Fax Number :
Provider Business Practice Location Address
First Line : 312 GRANITE AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23226-2144
Country : US
Telephone Number : 804-814-6821
Fax Number :
Authorized Official
Title or Position : CLINICAL PSYCHOLOGIST
Name : DR. RACHEL GOW
Credential : PHD
Telephone Number : 804-814-6821
Provider Enumeration Date : 09/24/2015
Last Update Date : 09/24/2015

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