Randall, Elizabeth

Randall, Elizabeth is an individual health care provider with primary practice located at 800 Hertel Ave Ste 101 , Buffalo NY 14207-1906. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Randall, Elizabeth can be contacted via phone (171) 656-6505.

Contact Information

Primary practice address
800 Hertel Ave Ste 101 Buffalo NY 14207-1906
Phone: (171) 656-6505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 023579 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 007768 New York

Profile Details

NPI number 1235633447
LBN Legal business name Randall, Elizabeth
Credentials PSYD, LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2018
Last updated Feb 10th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235633447 NPPES
New York MEDICAID 01465451

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