Provider Demographics
NPI:1164209664
Name:TOMON, RACHEL CHARLOTTE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:CHARLOTTE
Last Name:TOMON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 HILLSIDE WAY
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-1760
Mailing Address - Country:US
Mailing Address - Phone:724-944-1729
Mailing Address - Fax:
Practice Address - Street 1:118 HILLSIDE WAY
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-1760
Practice Address - Country:US
Practice Address - Phone:724-944-1729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3142531103TS0200X
OH3233341103TS0200X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool