Provider Demographics
NPI:1700138435
Name:RACHMEL, SHERYL (MA)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:
Last Name:RACHMEL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:SHERYL
Other - Middle Name:
Other - Last Name:MATHEMY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:22328 DE GRASSE DR
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-5114
Mailing Address - Country:US
Mailing Address - Phone:818-203-7006
Mailing Address - Fax:
Practice Address - Street 1:22328 DE GRASSE DR
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-5114
Practice Address - Country:US
Practice Address - Phone:818-203-7006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC32576106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist