Dr. Kyle David Raque, PSYD
Dr. Kyle David Raque, PSYD is a Clinical Psychologist in Blue Ridge, Georgia. Qualified in 2005, 21 years ago. Practices with Blue Ridge Psychological Services, LLC, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.
- Years since qualifying
- 21
- Licensed in
- GA
- In the registry since
- 2006
What do these letters mean?
- PSYD — Doctor of Psychology
- A doctoral psychologist trained primarily for clinical practice.
Practice location Address checks out
9757 Blue Ridge DrBlue Ridge, GA 30513-4167
Phone: (706) 455-2490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence PSY003039 (GA) |
|---|
Record details
| NPI number | 1790863900 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PSYD |
| Sole proprietor | Yes |
| NPI enumerated | November 2, 2006 |
| Last updated in NPPES | February 26, 2020 |
| Certification date | February 26, 2020 |
Medicare enrollment
| Medicare specialty | CLINICAL PSYCHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Blue Ridge Psychological Services, Llc — 8 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in Blue Ridge
-
Blue Ridge Psychological Services, LLC
9757 Blue Ridge Dr, Blue Ridge, GA 30513-4167 · (706) 455-2490
-
Dr. Kenneth Bradford Carpenter, PSYD
165 Blue Ridge Overlook, Blue Ridge, GA 30513-4431 · (706) 946-4647