Provider Demographics
NPI:1639300734
Name:TRAMELL, RACHEL DIANA (MS)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:DIANA
Last Name:TRAMELL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3741 WILLIAM STREET APT 1
Mailing Address - Street 2:
Mailing Address - City:LAKE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33403
Mailing Address - Country:US
Mailing Address - Phone:561-625-4674
Mailing Address - Fax:
Practice Address - Street 1:3741 WILLIAM ST APT 1
Practice Address - Street 2:
Practice Address - City:LAKE PARK
Practice Address - State:FL
Practice Address - Zip Code:33403-1622
Practice Address - Country:US
Practice Address - Phone:561-625-4674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional