Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 2596 | MD |
Y | 103T00000X | Psychologist | 2596 | MD |
N | 103TA0700X | Adult Development & Aging Psychologist | 2596 | MD |
N | 103G00000X | Clinical Psychologist | 2596 | MD |
N | 103TC0700X | Clinical Psychologist | 2596 | MD |
N | 103TF0000X | Family Psychologist | 2956 | MD |
N | 103TP2701X | Group Psychotherapist | 2596 | MD |
NPI | 1013116680 |
---|---|
Provider Name | Dr. Rachel F. Lenn |
First Address | Potomac, MD 20854 |
Second Address | Potomac, MD 20854-2059 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2007 |
Last Update Date | 13/07/2007 |