Provider Demographics
NPI:1447950597
Name:COUCH, RACHEL M
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:M
Last Name:COUCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:GLENDON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-7350
Mailing Address - Country:US
Mailing Address - Phone:215-801-9029
Mailing Address - Fax:
Practice Address - Street 1:1101 W HAMILTON ST STE 529
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18101-1043
Practice Address - Country:US
Practice Address - Phone:215-801-9029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker