Healthcare Provider Details

I. General information

NPI: 1902815681
Provider Name (Legal Business Name): RACHEL J HUNDLEY PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 03/16/2022
Certification Date: 03/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 CHILDREN'S WAY, 11101 DOCTOR'S OFFICE TOWER DEVELOPMENTAL MEDICINE CHILDREN'S HOSPITAL VANDERBILT
NASHVILLE TN
37232-9003
US

IV. Provider business mailing address

3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE TN
37215-2691
US

V. Phone/Fax

Practice location:
  • Phone: 615-936-0249
  • Fax: 615-936-0256
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberP2966
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number2966
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: