Provider Demographics
NPI:1891028676
Name:WHIPPLE, RACHEL M (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:M
Last Name:WHIPPLE
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 1:1104 KENILWORTH DRIVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204
Mailing Address - Country:US
Mailing Address - Phone:410-583-8892
Mailing Address - Fax:410-823-5114
Practice Address - Street 1:1104 KENILWORTH DRIVE
Practice Address - Street 2:SUITE 301
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204
Practice Address - Country:US
Practice Address - Phone:410-583-8892
Practice Address - Fax:410-823-5114
Is Sole Proprietor?:No
Enumeration Date:2009-09-11
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH99003227Medicaid
NHNH3227Medicare PIN