Provider Demographics
NPI:1619340429
Name:HARMAN, RACHAL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RACHAL
Middle Name:
Last Name:HARMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:RACHAL
Other - Middle Name:
Other - Last Name:TRULL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:2403 W BEN WHITE BLVD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-7534
Mailing Address - Country:US
Mailing Address - Phone:512-707-2782
Mailing Address - Fax:512-707-2783
Practice Address - Street 1:2403 W BEN WHITE BLVD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-7534
Practice Address - Country:US
Practice Address - Phone:512-707-2782
Practice Address - Fax:512-707-2783
Is Sole Proprietor?:No
Enumeration Date:2015-11-03
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36903103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical