Provider Demographics
NPI:1962536110
Name:MCCAULEY, RACHEL G (DPH)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:G
Last Name:MCCAULEY
Suffix:
Gender:F
Credentials:DPH
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 68
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37334-0068
Mailing Address - Country:US
Mailing Address - Phone:931-625-2815
Mailing Address - Fax:
Practice Address - Street 1:207 ELK AVE S
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37334-3051
Practice Address - Country:US
Practice Address - Phone:931-625-2815
Practice Address - Fax:931-433-0371
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1532183500000X
TN797106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No183500000XPharmacy Service ProvidersPharmacist