Healthcare Provider Details

I. General information

NPI: 1437319837
Provider Name (Legal Business Name): RACHEL ELIZABETH WILEY PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2008
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 14010
APO AP
96543-4010
US

IV. Provider business mailing address

UNIT 14010
APO AP
96543-4010
US

V. Phone/Fax

Practice location:
  • Phone: 671-366-5125
  • Fax:
Mailing address:
  • Phone: 671-366-5125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4680
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: