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Laura Rathke
Student in an Organized Health Care Education/Training Program in Worcester, Massachusetts
NPI 1477920619

Laura Rathke is a Student in an Organized Health Care Education/Training Program based in Worcester, MA. Laura Rathke practices in Worcester, MA. The NPI Number for Laura Rathke is 1477920619 and holds a License No. 10896 (Massachusetts).

The current practice location address for Laura Rathke is 55 Lake Ave N, Worcester, MA and can be reached out via phone at 413-584-4040.

Location: 55 Lake Ave N, Worcester, MA, 01610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477920619
Provider Name
Laura Rathke
Credential
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Ave N, Worcester, MA, 01610
Phone Number
413-584-4040
Fax Number
Provider Enumeration Date
08/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
55 Lake Ave N
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
413-584-4040
Fax Number
person
Provider Business Mailing Address Details
Address
55 Lake Ave N
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
413-584-4040
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
()
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
10896 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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