Provider Demographics
NPI:1285043562
Name:ORLECK LOZANO, RACHEL C (PSYD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:C
Last Name:ORLECK LOZANO
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 1:6518 PHINNEY AVE N STE A
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-5239
Mailing Address - Country:US
Mailing Address - Phone:206-745-3526
Mailing Address - Fax:
Practice Address - Street 1:6518 PHINNEY AVE N STE A
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-5239
Practice Address - Country:US
Practice Address - Phone:206-745-3526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-12
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60450189103TC0700X
MA9949103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical