Provider Demographics
NPI:1588896047
Name:RAPPAPORT, RACHEL ERYN (MS, LMHC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ERYN
Last Name:RAPPAPORT
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ERYN
Other - Last Name:WITTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:305 WHEELER PL
Mailing Address - Street 2:
Mailing Address - City:ENDICOTT
Mailing Address - State:NY
Mailing Address - Zip Code:13760-6058
Mailing Address - Country:US
Mailing Address - Phone:321-279-7140
Mailing Address - Fax:
Practice Address - Street 1:305 WHEELER PL
Practice Address - Street 2:
Practice Address - City:ENDICOTT
Practice Address - State:NY
Practice Address - Zip Code:13760-6058
Practice Address - Country:US
Practice Address - Phone:321-279-7140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-18
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NY006541-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health