Provider Demographics
NPI:1093390759
Name:BUCHER, RACHEL (PHD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:BUCHER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:CLEGG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:162 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-6712
Mailing Address - Country:US
Mailing Address - Phone:207-844-1059
Mailing Address - Fax:
Practice Address - Street 1:162 MAIN ST
Practice Address - Street 2:
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-6712
Practice Address - Country:US
Practice Address - Phone:207-844-1059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-15
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
MEPS2531103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty