Individual
DR. DEIRDRE DANETTE RAINER
Active
Individual
DR. DEIRDRE DANETTE RAINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
342
WY
103TC0700X
Clinical Psychologist
Primary
PSY 1239
HI
103TC0700X
Clinical Psychologist
PSY 9892
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118897600
—
WY
Enumeration date
05/02/2007
Last updated
11/26/2013
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