Search › Georgia › 103TC0700X
Kyle Raque, PSY.D
NPI 1790863900 · on the registry since 2006 · sole proprietor
Practice
- Address
- 9757 Blue Ridge Dr
Blue Ridge, GA 30513 - Phone
- (706) 455-2490
- Organisation at this address
- Blue Ridge Psychological Services, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia