Provider Demographics
NPI:1124718846
Name:RATHBUN, HELEN (PSYD)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:
Last Name:RATHBUN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7723 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-5841
Mailing Address - Country:US
Mailing Address - Phone:202-417-7793
Mailing Address - Fax:
Practice Address - Street 1:7723 WILSON AVE
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-5841
Practice Address - Country:US
Practice Address - Phone:202-417-7793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07209103TC0700X
VA0810008238103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical