Provider Demographics
NPI:1043859309
Name:REDING, RACHEL ANA
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANA
Last Name:REDING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 E THOMAS RD STE 106
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-5748
Mailing Address - Country:US
Mailing Address - Phone:602-248-6040
Mailing Address - Fax:
Practice Address - Street 1:1500 E THOMAS RD STE 106
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-5748
Practice Address - Country:US
Practice Address - Phone:602-248-6040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker