Individual
DR. RICHARD RALEIGH RAUBOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
967 SPAULDING AVE SE, SUITE D, ADA, MI 49301-3700
(616) 940-1100
(616) 957-9619
Mailing address
2735 WOODCLIFF CIR SE, EAST GRAND RAPIDS, MI 49506-3152
(616) 957-0647
(616) 957-9619
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301003233
MI
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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