Provider Demographics
NPI:1699701912
Name:TEITEL, RAQUEL S (PHD PSYCHOLOGIST)
Entity type:Individual
Prefix:DR
First Name:RAQUEL
Middle Name:S
Last Name:TEITEL
Suffix:
Gender:F
Credentials:PHD PSYCHOLOGIST
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Other - First Name:
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Mailing Address - Street 1:5610 WISCONSIN AVENUE
Mailing Address - Street 2:#606
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4432
Mailing Address - Country:US
Mailing Address - Phone:301-656-3005
Mailing Address - Fax:301-656-3006
Practice Address - Street 1:10801 LOCKWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1593
Practice Address - Country:US
Practice Address - Phone:301-681-6789
Practice Address - Fax:301-681-8122
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD01058103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist