Provider Demographics
NPI:1124159405
Name:RACHEL E. CHRISTIAN, PH.D., P.C.
Entity type:Organization
Organization Name:RACHEL E. CHRISTIAN, PH.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:CHRISTIAN
Authorized Official - Last Name:CAIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:770-962-1944
Mailing Address - Street 1:1805 HERRINGTON RD
Mailing Address - Street 2:BLDG. 2
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-5649
Mailing Address - Country:US
Mailing Address - Phone:770-962-1944
Mailing Address - Fax:770-962-1886
Practice Address - Street 1:1805 HERRINGTON RD
Practice Address - Street 2:BLDG. 2
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-5649
Practice Address - Country:US
Practice Address - Phone:770-962-1944
Practice Address - Fax:770-962-1886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002447103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty