Provider Demographics
NPI:1619861739
Name:ANDERSON, RACHEL ELIZABETH (MT-BC, LPMT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ELIZABETH
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MT-BC, LPMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44219 AIRPORT RD BLDG 1
Mailing Address - Street 2:
Mailing Address - City:CALIFORNIA
Mailing Address - State:MD
Mailing Address - Zip Code:20619-2010
Mailing Address - Country:US
Mailing Address - Phone:667-205-4500
Mailing Address - Fax:667-205-4505
Practice Address - Street 1:44219 AIRPORT RD BLDG 1
Practice Address - Street 2:
Practice Address - City:CALIFORNIA
Practice Address - State:MD
Practice Address - Zip Code:20619-2010
Practice Address - Country:US
Practice Address - Phone:667-205-4500
Practice Address - Fax:667-205-4505
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19505225A00000X
MD00198225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist