Provider Demographics
NPI:1376859538
Name:RAPKE, BETH (MA)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:
Last Name:RAPKE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MISS
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:GOLDENBAUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:2060 BRIGHTON HENRIETTA TOWN LINE RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-2792
Mailing Address - Country:US
Mailing Address - Phone:585-271-0661
Mailing Address - Fax:
Practice Address - Street 1:2060 BRIGHTON HENRIETTA TOWN LINE RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-2792
Practice Address - Country:US
Practice Address - Phone:585-271-0661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-26
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst