National Provider Identifier

Rachael Elizabeth Lax, PH.D.

Rachael Elizabeth Lax, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (585) 530-9484.

NPI 1598116923Rochester, NYClinical Psychologist

Profile Overview

NPI
1598116923
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
June 27, 2016
Last Updated
June 27, 2016

Practice Location

  • 63 Park Ave
  • Rochester, NY 14607-2415

Phone: (585) 530-9484

Mailing Address

  • 374 Wimbledon RD
  • Rochester, NY 14617-4728

Specialties

  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1598116923
Entity Type
Individual
Last Name
Lax
First Name
Rachael
Middle Name
Elizabeth
Name Prefix
Dr.
Credential
PH.D.
Mailing Street Address
374 Wimbledon RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-4728
Mailing Country
US
Mailing Phone
(585) 530-9484
Practice Street Address
63 Park Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-2415
Practice Country
US
Practice Phone
(585) 530-9484
Enumeration Date
June 27, 2016
Last Updated
June 27, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X)