RACHEL THERESA FEDDOR


Address: 1970 Commonwealth Ave Apt 48, Boston, MA 02135-5820
Phone: 6305448399

RACHEL THERESA FEDDOR (NPI# 1174138499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174138499
Entity Type Individual
Full Name RACHEL THERESA FEDDOR
Practice Address 1970 Commonwealth Ave Apt 48
Boston
MA 02135-5820
Practice Telephone 6305448399
Mailing Telephone 6305448399
Enumeration Date 2020-09-14
Last Update Date 2020-09-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 1970 COMMONWEALTH AVE APT 48
City BOSTON
State MA
Zip Code 02135-5820

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1720620271 Cheryl Pamela Lewis Counselor 155 Northampton St Apt 408, Boston, MA 02118-1845 2019-10-16
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Competitor

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City BOSTON
Zip Code 02135

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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