Individual
DR. BOBBY L. RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1903 N HIGHLAND AVE, JACKSON, TN 38305-4525
(731) 427-0416
Mailing address
1903 N HIGHLAND AVE, JACKSON, TN 38305-4525
(731) 427-0416
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
P1190
TN
Other
Enumeration date
12/31/2006
Last updated
07/08/2007
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