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NPI Code Detail

MEDICARE: RENEE RANKINE

MEDICARE:   RENEE  RANKINE
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1831053396
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE RANKINE
Provider Business Mailing Address
First Line : 10413 EDGEFIELD DR
Second Line :
City : ADELPHI
State : MD
Zip : 20783-1125
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 225 S CHESTER RD STE 4
Second Line :
City : SWARTHMORE
State : PA
Zip : 19081-1919
Country : US
Telephone Number : 484-471-3696
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “ RENEE RANKINE ” Practice Location

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