Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KYLE DAVID RAQUE, PSY.D.
Active Sole ProprietorDR. 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 DRBLUE RIDGE, GA, 305134167Browse 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.