Provider Demographics
NPI:1497788491
Name:MOVITZ, RACHEL L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:L
Last Name:MOVITZ
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:PO BOX 628
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-0019
Mailing Address - Country:US
Mailing Address - Phone:781-640-0900
Mailing Address - Fax:978-486-9516
Practice Address - Street 1:319 LITTLETON RD STE 108
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-4133
Practice Address - Country:US
Practice Address - Phone:781-640-0900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2021-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8263103TA0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAWO6374OtherBLUE CROSS BLUE SHIELD
MA1859731Medicaid
MA1859731Medicaid