Provider Demographics
NPI:1518336148
Name:RACHEL GOW, PHD, LLC
Entity Type:Organization
Organization Name:RACHEL GOW, PHD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOW
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:804-814-6821
Mailing Address - Street 1:5501 KINGSBURY RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-2153
Mailing Address - Country:US
Mailing Address - Phone:804-814-6821
Mailing Address - Fax:
Practice Address - Street 1:312 GRANITE AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-2144
Practice Address - Country:US
Practice Address - Phone:804-814-6821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-24
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004314103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty