NPI 1275938631 · live from the CMS NPI Registry
Rachel Bruder
Psychologist, Clinical in Washington, DC. National Provider Identifier 1275938631, active.
NPI record
| NPI | 1275938631 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 1251 Saratoga Ave Ne, Washington, DC 20018 |
| Practice phone | 202-832-8818 |
| Mailing address | 1220 12th St Se Ste 120, Washington, DC 20003 |
| Enumerated | October 28, 2014 |
| Last updated | March 17, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Psychologist, Clinical primary | 103TC0700X | psy1001165 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.