Dr Rachel L Fazio, PSYD is a
Psychologist - Clinical based in Little Rock, Arkansas. Dr Rachel L Fazio is licensed to practice in New Mexico (license number 1277) and her current practice location is
400 W Capitol Ave Ste 1700, Little Rock, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(501) 301-4643.
NPI number for Dr Rachel L Fazio is 1356589360 and her current mailing address is 400 W Capitol Ave Ste 1700, Little Rock, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356589360.
Healthcare Provider's Profile
| Full Name | Dr Rachel L Fazio |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 400 W Capitol Ave Ste 1700, Little Rock, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1356589360
- Provider Enumeration Date: 01/29/2009
- Last Update Date: 06/03/2020
Medical Identifiers
Medical identifiers for Dr Rachel L Fazio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356589360 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | C.0600552 (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | 2009001340 (Missouri) | Secondary |
| 103TC0700X | Psychologist - Clinical | 18-11P (Arkansas) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1277 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Rachel L Fazio is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Rachel L Fazio, PSYD
400 W Capitol Ave Ste 1700,
Little Rock, AR 72201-3438
Ph: (501) 301-4643 | Dr Rachel L Fazio, PSYD
400 W Capitol Ave Ste 1700,
Little Rock, AR 72201-3438
Ph: (501) 301-4643 |
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