Provider Demographics
NPI:1235349119
Name:TISCHER, RACHEL (IMF)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:TISCHER
Suffix:
Gender:F
Credentials:IMF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39155 LIBERTY STREET
Mailing Address - Street 2:SUITE E500
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538
Mailing Address - Country:US
Mailing Address - Phone:510-574-2100
Mailing Address - Fax:510-574-2105
Practice Address - Street 1:39155 LIBERTY STREET
Practice Address - Street 2:SUITE E500
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538
Practice Address - Country:US
Practice Address - Phone:510-574-2100
Practice Address - Fax:510-574-2105
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45579106H00000X
CALMFT47089106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist