Provider Demographics
NPI:1194230839
Name:LEVY LOMBARA, RACHEL KATHERINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:KATHERINE
Last Name:LEVY LOMBARA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 W 237TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1440
Mailing Address - Country:US
Mailing Address - Phone:914-471-7788
Mailing Address - Fax:
Practice Address - Street 1:11 BYRAM MEADOWS RD
Practice Address - Street 2:
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-3910
Practice Address - Country:US
Practice Address - Phone:914-471-7788
Practice Address - Fax:914-471-7788
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-04
Last Update Date:2017-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012897-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist