Provider Demographics
NPI:1205053972
Name:RASCH, DAVID ARNOT (PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ARNOT
Last Name:RASCH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27200 PRADO DEL SOL
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93923-9526
Mailing Address - Country:US
Mailing Address - Phone:650-799-1569
Mailing Address - Fax:
Practice Address - Street 1:2555 PARK BLVD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1924
Practice Address - Country:US
Practice Address - Phone:650-799-1569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY13027103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling