Provider Demographics
NPI:1427356047
Name:LATTA, RACHEL ERIN (PHD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ERIN
Last Name:LATTA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 WARWICK RD
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-2109
Mailing Address - Country:US
Mailing Address - Phone:617-286-4107
Mailing Address - Fax:
Practice Address - Street 1:616 MAIN ST
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-3116
Practice Address - Country:US
Practice Address - Phone:781-687-2948
Practice Address - Fax:781-687-2169
Is Sole Proprietor?:No
Enumeration Date:2011-03-07
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9332103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling