Provider Demographics
NPI:1154992717
Name:SINGER, RACHAEL ANNE (BC-DMT)
Entity type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:ANNE
Last Name:SINGER
Suffix:
Gender:F
Credentials:BC-DMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109A LINN DR
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:NJ
Mailing Address - Zip Code:07044-3113
Mailing Address - Country:US
Mailing Address - Phone:646-627-0781
Mailing Address - Fax:
Practice Address - Street 1:154 S LIVINGSTON AVE STE 204
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-3017
Practice Address - Country:US
Practice Address - Phone:973-535-5010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ225600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225600000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDance TherapistGroup - Single Specialty