David Raque is a Psychologist in Mineral Bluff, Georgia. David Raque practices all healthcare services and medical treatments related to Psychologist. The NPI Number for David Raque is 1326108648. The last update date is 2007-07-09.
David Raque's current location address is Po Box 429, Mineral Bluff, Georgia. You can contact this provider via phone number 7064552492 and fax number 7044925714. The mailing address for David Raque is Po Box 429, Mineral Bluff, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Raque |
|---|---|
| Address | Po Box 429, Mineral Bluff, Georgia |
| Phone Number | 7064552492 |
| Fax Number | 7044925714 |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1326108648 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | Po Box 429 |
|---|---|
| City | Mineral Bluff |
| State | Georgia (GA) |
| Post Code | 305590429 |
| Phone Number | 7064552492 |
| Fax Number | 7044925714 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY000413 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY000413 | GA | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to David Raque by the Centers for Medicare & Medicaid Services (CMS)?
The David Raque has been assigned the NPI (National Provider Identifier) 1326108648. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where David Raque is physically located?
The David Raque is situated at the following address: Po Box 429, Mineral Bluff, GA 305590429.
What is David Raque's specialized field of practice, and what is the corresponding taxonomy classification code?
The David Raque's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1326108648 to David Raque?
The David Raque received its 1326108648 assignment from the Centers for Medicare & Medicaid Services on 2006-12-08.
As of what date were the David Raque's details last updated?
The information pertaining to the David Raque, including its address, specialty, and other details, was most recently updated on 2007-07-09.
NPI Number: 1225008816
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