Blue Ridge Psychological Services, LLC

NPI #1750524781 in Blue Ridge, Georgia

Provider Information

NPI Number
1750524781
Entity Type
Organization
Organization Name
Blue Ridge Psychological Services, LLC
Primary Specialty
Psychologist - Clinical
Enumeration Date
Apr 6, 2009
Last Updated
Jan 31, 2025

Practice Location

Address
9757 BLUE RIDGE DR
State
Georgia
ZIP Code
30513-4167
Phone
(706) 455-2490

Authorized Official

Name
KYLE DAVID RAQUE, PSYD
Title
REGISTERED AGENT/OWNER
Phone
(706) 455-2490

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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