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NPI Code Detail

MEDICARE: RACHEL CHAVIN

MEDICARE: RACHEL CHAVIN
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
1103TC0700XClinical Psychologist5407-57WI

General Provider Information

NPI Number : 1861178600
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL CHAVIN
Provider Business Mailing Address
First Line : 5000 W NATIONAL AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53295-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5000 W NATIONAL AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53295-2910
Country : US
Telephone Number : 414-384-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2023
Last Update Date : 08/25/2025

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Directions to “ RACHEL CHAVIN ” Practice Location

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