Provider Demographics
NPI:1114469368
Name:OCAMPO HOOGASIAN, RACHEL MARIE (PHD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:MARIE
Last Name:OCAMPO HOOGASIAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6909 W RAY RD
Mailing Address - Street 2:SUITE 132
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-1699
Mailing Address - Country:US
Mailing Address - Phone:520-314-6250
Mailing Address - Fax:
Practice Address - Street 1:6909 W RAY RD
Practice Address - Street 2:SUITE 132
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-1699
Practice Address - Country:US
Practice Address - Phone:520-314-6250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-04
Last Update Date:2017-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4792103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist