Provider Demographics
NPI:1265773451
Name:RAINS, G. DENNIS (PHD)
Entity type:Individual
Prefix:DR
First Name:G. DENNIS
Middle Name:
Last Name:RAINS
Suffix:
Gender:M
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:PO BOX 243
Mailing Address - Street 2:
Mailing Address - City:KUTZTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19530-0243
Mailing Address - Country:US
Mailing Address - Phone:610-756-3726
Mailing Address - Fax:
Practice Address - Street 1:ONE SOUTH HOME AVENUE
Practice Address - Street 2:DIAKON FAMILY LIFE SERVICES
Practice Address - City:TOPTON
Practice Address - State:PA
Practice Address - Zip Code:19562
Practice Address - Country:US
Practice Address - Phone:666-106-8213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-13
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003946-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist