Randall, David W

Randall, David W is an sole proprietor health care provider with primary practice located at 41 Woodcliffe Rd , Lexington MA 02421-7833. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Randall, David W can be contacted via phone (781) 538-5020.

Contact Information

Primary practice address
41 Woodcliffe Rd Lexington MA 02421-7833
Phone: (781) 538-5020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 8566 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 8566 Massachusetts
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 8566 Massachusetts

Profile Details

NPI number 1003977109
LBN Legal business name Randall, David W
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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