Provider Demographics
NPI:1407251184
Name:RAINS, JEANETTA (PHD)
Entity Type:Individual
Prefix:DR
First Name:JEANETTA
Middle Name:
Last Name:RAINS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 QUEEN CITY AVE
Mailing Address - Street 2:SLEEP AND PULMONARY CLINIC
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-7121
Mailing Address - Country:US
Mailing Address - Phone:603-663-6680
Mailing Address - Fax:603-663-6699
Practice Address - Street 1:185 QUEEN CITY AVE
Practice Address - Street 2:SLEEP AND PULMONARY CLINIC
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-7121
Practice Address - Country:US
Practice Address - Phone:603-663-6680
Practice Address - Fax:603-663-6699
Is Sole Proprietor?:No
Enumeration Date:2014-10-24
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH840103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical