Provider Demographics
NPI:1558711713
Name:VATCHER, RITA ANN (MA, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:ANN
Last Name:VATCHER
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 MAPLE ST. 4TH FL.
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752
Mailing Address - Country:US
Mailing Address - Phone:508-460-8579
Mailing Address - Fax:508-485-6904
Practice Address - Street 1:340 MAPLE ST. 4TH FL.
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752
Practice Address - Country:US
Practice Address - Phone:508-460-8579
Practice Address - Fax:508-485-6904
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-20
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9469101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health