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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KYLE DAVID RAQUE, PSY.D.

Active Sole Proprietor

DR. KYLE DAVID RAQUE, PSY.D. is a Clinical Psychologist healthcare provider located in BLUE RIDGE, Georgia. NPI 1790863900 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · BLUE RIDGE, GA

Registration Details

NPI Number
1790863900
Provider Type
Individual
Gender
Male
NPI Issued
Nov 2, 2006 (19.760072781539 yrs)
Last Updated
Feb 26, 2020
License
PSY003039 (GA)
Sole Proprietor
Yes

Practice Information

Address
9757 BLUE RIDGE DR
BLUE RIDGE, GA, 305134167
Browse GA providers · Browse ZIP 30513
Phone
7064552490
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in BLUE RIDGE, GA

Name Credential NPI
DR. KENNETH BRADFORD CARPENTER PSYD 1912315987
WILLA BOSTON PSYD 1700259553
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.