Provider Demographics
NPI:1144679226
Name:LOSOFF, RACHEL COHEN (PHD, LCP, NCPS)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:COHEN
Last Name:LOSOFF
Suffix:
Gender:F
Credentials:PHD, LCP, NCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 N WELLS ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-7024
Mailing Address - Country:US
Mailing Address - Phone:312-379-1606
Mailing Address - Fax:
Practice Address - Street 1:325 N WELLS ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-7024
Practice Address - Country:US
Practice Address - Phone:312-379-1606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-08
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007738103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist