Healthcare Provider Details

I. General information

NPI: 1952337974
Provider Name (Legal Business Name): GEORGE LOUIS RAHAIM JR. PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LANDSTUHL REGIONAL MEDICAL CENTER CMR 402
APO AE
09180
US

IV. Provider business mailing address

LANDSTUHL REGIONAL MEDICAL CENTER CMR 402
APO AE
09180
US

V. Phone/Fax

Practice location:
  • Phone: 326-544-5932
  • Fax: 326-544-4406
Mailing address:
  • Phone: 326-544-5932
  • Fax: 326-544-4406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY0003451
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: