Provider Demographics
NPI:1164663159
Name:CAUFIELD, RACHEL L (PSYD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:L
Last Name:CAUFIELD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3388 WILLIAMSBURG RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-2075
Mailing Address - Country:US
Mailing Address - Phone:734-277-1941
Mailing Address - Fax:
Practice Address - Street 1:3388 WILLIAMSBURG RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-2075
Practice Address - Country:US
Practice Address - Phone:734-277-1941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-20
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2797-57103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist