Bobby L. Raines is a Health Service in Jackson, Tennessee. Bobby L. Raines practices all healthcare services and medical treatments related to Health Service. The NPI Number for Bobby L. Raines is 1356407423. The last update date is 2007-07-08.
Bobby L. Raines's current location address is 1903 N Highland Ave, Jackson, Tennessee. You can contact this provider via phone number 7314270416. The mailing address for Bobby L. Raines is 1903 N Highland Ave, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bobby L. Raines |
|---|---|
| Address | 1903 N Highland Ave, Jackson, Tennessee |
| Phone Number | 7314270416 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1356407423 |
|---|---|
| Provider Enumeration Date | 2006-12-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1903 N Highland Ave |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 383054525 |
| Phone Number | 7314270416 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | P1190 |
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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, adjustm |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bobby L. Raines by the Centers for Medicare & Medicaid Services?
The Bobby L. Raines has been assigned the NPI (National Provider Identifier) 1356407423 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Bobby L. Raines is physically located?
The Bobby L. Raines is physically situated at the following address: 1903 N Highland Ave, Jackson, TN, 383054525.
What is the area of specialization for Bobby L. Raines, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bobby L. Raines is Health Service, and the corresponding taxonomy code that categorizes this area of expertise is 103Th0100X.
When did Bobby L. Raines receive its 1356407423 assignment?
The Bobby L. Raines was assigned its 1356407423 on 2006-12-31, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Bobby L. Raines, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bobby L. Raines, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.