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Dr. Kyle David Raque, PSYD
Clinical Psychologist in Blue Ridge, Georgia
NPI 1790863900

Kyle David Raque is a Clinical Psychologist based in Blue Ridge, GA and is specialized in Clinical. Kyle David Raque practices in Blue Ridge, GA and has the professional credentials of PSYD. The NPI Number for Kyle David Raque is 1790863900 and holds a License No. PSY003039 (Georgia).

The current practice location address for Kyle David Raque is 9757 Blue Ridge Dr, Blue Ridge, GA and can be reached out via phone at 706-455-2490.

Location: 9757 Blue Ridge Dr, Blue Ridge, GA, 30513-4167
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790863900
Provider Name
Kyle David Raque
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
9757 Blue Ridge Dr, Blue Ridge, GA, 30513-4167
Phone Number
706-455-2490
Fax Number
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9757 Blue Ridge Dr
City
Blue Ridge
State
Georgia
Zip
30513-4167
Phone Number
706-455-2490
Fax Number
person
Provider Business Mailing Address Details
Address
9757 Blue Ridge Dr
City
Blue Ridge
State
Georgia
Zip
30513-4167
Phone Number
706-455-2490
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY003039 (Georgia)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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