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Dr. Bobby L. Raines, PHD
Health Service Psychologist in Jackson, Tennessee
NPI 1356407423

Bobby L. Raines is a Health Service Psychologist based in Jackson, TN and is specialized in Health Service. Bobby L. Raines practices in Jackson, TN and has the professional credentials of PHD. The NPI Number for Bobby L. Raines is 1356407423 and holds a License No. P1190 (Tennessee).

The current practice location address for Bobby L. Raines is 1903 N Highland Ave, Jackson, TN and can be reached out via phone at 731-427-0416.

Location: 1903 N Highland Ave, Jackson, TN, 38305-4525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356407423
Provider Name
Bobby L. Raines
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1903 N Highland Ave, Jackson, TN, 38305-4525
Phone Number
731-427-0416
Fax Number
Provider Enumeration Date
12/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1903 N Highland Ave
City
Jackson
State
Tennessee
Zip
38305-4525
Phone Number
731-427-0416
Fax Number
person
Provider Business Mailing Address Details
Address
1903 N Highland Ave
City
Jackson
State
Tennessee
Zip
38305-4525
Phone Number
731-427-0416
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
P1190 (Tennessee)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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