Provider Demographics
NPI:1457922767
Name:LEIPOW, RACHEL ARIANNA
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ARIANNA
Last Name:LEIPOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7021 TED DR
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-3943
Mailing Address - Country:US
Mailing Address - Phone:217-729-0947
Mailing Address - Fax:
Practice Address - Street 1:7021 TED DR
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3943
Practice Address - Country:US
Practice Address - Phone:202-810-3789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-07
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810007701103TC0700X
DCPSYA00413103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist