Provider Demographics
NPI:1902459696
Name:DR RACHEL CAUFIELD PLLC
Entity type:Organization
Organization Name:DR RACHEL CAUFIELD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:CAUFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:LCP
Authorized Official - Phone:734-277-1941
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 1:2155 JACKSON AVE STE 1
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-3976
Practice Address - Country:US
Practice Address - Phone:734-277-1941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty