Healthcare Provider Details

I. General information

NPI: 1720602337
Provider Name (Legal Business Name): RACHEL OGUNTULA SCHOOL PSYCHOLOGIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL O OGUNTULA MS, LSSP

II. Dates (important events)

Enumeration Date: 05/31/2020
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3214 MARLENE MEADOW WAY
RICHMOND TX
77406-3199
US

IV. Provider business mailing address

3214 MARLENE MEADOW WAY
RICHMOND TX
77406-3199
US

V. Phone/Fax

Practice location:
  • Phone: 832-819-3117
  • Fax: 832-916-2873
Mailing address:
  • Phone: 678-558-5575
  • Fax: 832-916-2873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number73152
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number73152
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: