Provider Demographics
NPI:1235490012
Name:ELLIOTT WALSH, RACHEL BETH (MA, MS ED)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:BETH
Last Name:ELLIOTT WALSH
Suffix:
Gender:F
Credentials:MA, MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 WEST ST
Mailing Address - Street 2:
Mailing Address - City:SOUDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18964-1716
Mailing Address - Country:US
Mailing Address - Phone:215-703-0509
Mailing Address - Fax:
Practice Address - Street 1:174 WEST ST
Practice Address - Street 2:
Practice Address - City:SOUDERTON
Practice Address - State:PA
Practice Address - Zip Code:18964-1716
Practice Address - Country:US
Practice Address - Phone:215-703-0509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist