Healthcare Provider Details

I. General information

NPI: 1235532540
Provider Name (Legal Business Name): RACHEL MARIE HOADLEY-CLAUSEN PH.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2014
Last Update Date: 02/04/2021
Certification Date: 01/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6720 GRELOT ROAD SUITE A
MOBILE AL
36695-2676
US

IV. Provider business mailing address

6720 GRELOT ROAD SUITE A
MOBILE AL
36695-2676
US

V. Phone/Fax

Practice location:
  • Phone: 251-633-5155
  • Fax: 251-633-5125
Mailing address:
  • Phone: 251-633-5155
  • Fax: 251-633-5125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2168
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: