Provider Demographics
NPI:1255149993
Name:MCAULIFFE, RACHAEL (PSYD)
Entity type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:
Last Name:MCAULIFFE
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 1:6307 SENTRY WAY S
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-3000
Mailing Address - Country:US
Mailing Address - Phone:727-967-4675
Mailing Address - Fax:
Practice Address - Street 1:9168 2ND ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23511-2328
Practice Address - Country:US
Practice Address - Phone:757-967-6175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810008752103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical