Jefferson Blake Rackley PSY.D.

NPI 1609187053 - Psychologist - 103T00000X

NPI Details
NPI 1609187053
Gender Male
Enumeration Date 06/30/2010
Last Updated 06/30/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
63 SPRINGS STATION DR.
FRANKLIN SPRINGS GA, 30639, US
Phone (706) 246-0733
Fax
Business Location
89 MEADOW DR
ROYSTON GA, 30662-2424, US
Phone (706) 680-0055
Fax
Toxanomy
Taxonomy Code 103T00000X
License State
License Number
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According to our database, Dr. Jefferson Blake Rackley PSY.D. NPI is 1609187053, taxonomy code is 103T00000X Jefferson Blake Rackley PSY.D. physically located at 63 Springs Station Dr., Franklin Springs GA, 30639. NPI Number Jefferson Blake Rackley PSY.D. has the Individual type.

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1609187053 NPI number is provided on an as is basis without warranty of any kind. 1609187053 is maintained by the National Plan & Provider Enumeration System. The contents of Jefferson Blake Rackley PSY.D. are for informational purposes only.