Provider Demographics
NPI:1538389283
Name:RAHE, DONALD F (PHD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:F
Last Name:RAHE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5613 BERNARD PL
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55436-2450
Mailing Address - Country:US
Mailing Address - Phone:952-922-4419
Mailing Address - Fax:
Practice Address - Street 1:5200 WILLSON RD
Practice Address - Street 2:SUITE 405
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55424-1332
Practice Address - Country:US
Practice Address - Phone:952-929-0577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP1837103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN2792OtherHEALTHPARTNERS INSURANCE
MN984441000163OtherPREFERREDONE INSURANCE
MN61-80059OtherMEDICA INSURANCE
MN26667RAOtherBLUE CROSS