Provider Demographics
NPI:1356533095
Name:RABB, DAVID D (MA, LICSW, ACSW)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:D
Last Name:RABB
Suffix:
Gender:M
Credentials:MA, LICSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 MIRANDA
Mailing Address - Street 2:PALO ALTO VA MEDICAL CENTER ROOM B-226-A
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94403
Mailing Address - Country:US
Mailing Address - Phone:650-493-5000
Mailing Address - Fax:650-849-1993
Practice Address - Street 1:3801 MIRANDA
Practice Address - Street 2:PALO ALTO VA MEDICAL CENTER ROOM B-226-A
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94403
Practice Address - Country:US
Practice Address - Phone:650-493-5000
Practice Address - Fax:650-849-1993
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN24611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical