MEDICARE: RACHELLE COLTES MA, EDS

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
1	103TS0200X	School Psychologist		CA

General Provider Information

NPI Number	:	1871104133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHELLE COLTES MA, EDS

Provider Business Mailing Address
First Line	:	1641 HICKAM CIR
Second Line	:
City	:	SUISUN CITY
State	:	CA
Zip	:	94585-1750
Country	:	US
Telephone Number	:	707-720-3688
Fax Number	:

Provider Business Practice Location Address
First Line	:	1641 HICKAM CIR
Second Line	:
City	:	SUISUN CITY
State	:	CA
Zip	:	94585-1750
Country	:	US
Telephone Number	:	707-720-3688
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2020
Last Update Date	:	05/28/2026

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