Provider Demographics
NPI:1487934634
Name:MCCAULEY, RACHEL (MT-BC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:MCCAULEY
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9471
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91309-0471
Mailing Address - Country:US
Mailing Address - Phone:818-715-9147
Mailing Address - Fax:
Practice Address - Street 1:7648 LOMA VERDE AVE
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91304-5143
Practice Address - Country:US
Practice Address - Phone:818-715-9147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist