Ingrid E Raab in Wellesley - Exercise & Sports

Ingrid E Raab - NPI 1366487068

Ingrid E Raab is a Exercise & Sports in Wellesley, Massachusetts. Ingrid E Raab practices all healthcare services and medical treatments related to Exercise & Sports. The NPI Number for Ingrid E Raab is 1366487068. The last update date is 2007-07-09.

Ingrid E Raab's current location address is 10 W Riding St, Wellesley, Massachusetts. You can contact this provider via phone number 7812370909 and fax number 7817721152. The mailing address for Ingrid E Raab is 10 W Riding St, Wellesley, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Ingrid E Raab
Address 10 W Riding St, Wellesley, Massachusetts
Phone Number 7812370909
Fax Number 7817721152
Sole Proprietor Y
Credentials PSY.D.

NPI Number Detail

NPI Number 1366487068
Provider Enumeration Date 2006-06-17
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 10 W Riding St
City Wellesley
State Massachusetts (MA)
Post Code 24826931
Phone Number 7812370909
Fax Number 7817721152

Provider's Primary Taxonomy Detail

Speciality Exercise & Sports
Taxonomy 103Te1100X
Licence No 7342
Definition:
A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated wi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
527025 MA --
7529313 MA A ETNAUS HEALTHCARE

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FAQs about Ingrid E Raab

What is the unique 10-digit identifier code issued to Ingrid E Raab by the Centers for Medicare & Medicaid Services?

The Ingrid E Raab has been assigned the NPI (National Provider Identifier) 1366487068 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Ingrid E Raab is located?

The Ingrid E Raab is situated at the following address: 10 W Riding St, Wellesley, MA, 24826931.

What is Ingrid E Raab's specialized field of practice, and what is the corresponding taxonomy classification code?

The Ingrid E Raab's area of specialization is Exercise & Sports, and the corresponding taxonomy code that categorizes this field of practice is 103Te1100X.

When was the Ingrid E Raab's 1366487068 issued?

The Ingrid E Raab's 1366487068 was issued on 2006-06-17.

As of what date were the details related to Ingrid E Raab most recently updated or revised?

The information pertaining to Ingrid E Raab, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.

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