Provider Demographics
NPI:1437486396
Name:LANGHOFER, RACHELLE CHRISTINE (PHD)
Entity Type:Individual
Prefix:MRS
First Name:RACHELLE
Middle Name:CHRISTINE
Last Name:LANGHOFER
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 1:8730 TALLON LN NE STE 104
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98516-6609
Mailing Address - Country:US
Mailing Address - Phone:360-628-0245
Mailing Address - Fax:800-689-1254
Practice Address - Street 1:1530 S UNION AVE STE 16
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1954
Practice Address - Country:US
Practice Address - Phone:253-752-7320
Practice Address - Fax:253-756-0427
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60086625103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist