Provider Demographics
NPI:1962848077
Name:ANDALORO, RACHEL ROSE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ROSE
Last Name:ANDALORO
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 1:1900 W PARK DR STE 280
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-3919
Mailing Address - Country:US
Mailing Address - Phone:508-983-1424
Mailing Address - Fax:508-983-0987
Practice Address - Street 1:1900 W PARK DR STE 280
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-3919
Practice Address - Country:US
Practice Address - Phone:508-983-1424
Practice Address - Fax:508-983-0987
Is Sole Proprietor?:No
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9684103G00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist