Provider Demographics
NPI:1942275011
Name:RABINOWITZ, CHRISTINE F (MA CCC-A)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:F
Last Name:RABINOWITZ
Suffix:
Gender:F
Credentials:MA CCC-A
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:F
Other - Last Name:RZECZKOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-A
Mailing Address - Street 1:PO BOX 425789
Mailing Address - Street 2:MEDICAL E23-395
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02142-0015
Mailing Address - Country:US
Mailing Address - Phone:617-253-0556
Mailing Address - Fax:
Practice Address - Street 1:77 MASS AVE
Practice Address - Street 2:MEDICAL E23-395
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-4301
Practice Address - Country:US
Practice Address - Phone:617-253-0556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA165231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA4864Medicare ID - Type Unspecified