Provider Demographics
NPI:1578181681
Name:GARNETT, RACHEL M (MA)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:M
Last Name:GARNETT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 IMPERIAL DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-7826
Mailing Address - Country:US
Mailing Address - Phone:802-825-2377
Mailing Address - Fax:
Practice Address - Street 1:47 IMPERIAL DR
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-7826
Practice Address - Country:US
Practice Address - Phone:802-825-2377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-07
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist