Provider Demographics
NPI:1710326756
Name:OPPENHEIMER, RACHEL REBEKAH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:REBEKAH
Last Name:OPPENHEIMER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 W 15TH ST STE 320
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7275
Mailing Address - Country:US
Mailing Address - Phone:469-708-9021
Mailing Address - Fax:972-596-5131
Practice Address - Street 1:1255 W 15TH ST STE 320
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7275
Practice Address - Country:US
Practice Address - Phone:469-708-9021
Practice Address - Fax:972-596-5131
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70292103TS0200X
TX36445103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool