Provider Demographics
NPI:1992289789
Name:WIEN, RACHEL SLOAN (PSYD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:SLOAN
Last Name:WIEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:SLOAN
Other - Last Name:RABINOWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:2350 BROADWAY APT 1204
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3214
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:150 WHITE PLAINS RD STE 208
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5521
Practice Address - Country:US
Practice Address - Phone:914-424-6993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP08114103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical