Provider Demographics
NPI:1467978569
Name:KANTOR, RACHEL MARGARET (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:MARGARET
Last Name:KANTOR
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 1:860 WINTER ST
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-1449
Mailing Address - Country:US
Mailing Address - Phone:814-347-2447
Mailing Address - Fax:781-893-5321
Practice Address - Street 1:860 WINTER ST
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-1449
Practice Address - Country:US
Practice Address - Phone:781-434-7344
Practice Address - Fax:781-893-5321
Is Sole Proprietor?:No
Enumeration Date:2017-08-21
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10912103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical