Provider Demographics
NPI:1053143610
Name:CARPENTER, RACHEL KATE (PHD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:KATE
Last Name:CARPENTER
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 1:411 NW 26TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2633
Mailing Address - Country:US
Mailing Address - Phone:719-329-4099
Mailing Address - Fax:
Practice Address - Street 1:NORTH FLORIDA/SOUTH GEORGIA VETERANS HEALTH SYSTEM
Practice Address - Street 2:5465 SW 34TH ST
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608
Practice Address - Country:US
Practice Address - Phone:719-329-4099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth