Provider Demographics
NPI:1972016582
Name:RECHTMAN, REBECCA PAIGE (LMHC, MED, EDS)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:PAIGE
Last Name:RECHTMAN
Suffix:
Gender:F
Credentials:LMHC, MED, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 5TH AVE RM 1205
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-8016
Mailing Address - Country:US
Mailing Address - Phone:954-701-4346
Mailing Address - Fax:
Practice Address - Street 1:80 5TH AVE RM 1205
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8016
Practice Address - Country:US
Practice Address - Phone:347-699-3043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-06
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8089101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health