Randall, Lily

Randall, Lily is an individual health care provider with primary practice located at 629 Camino De Los Mares Ste 207A , San Clemente CA 92673-2832. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Randall, Lily can be contacted via phone (714) 345-5200.

Contact Information

Primary practice address
629 Camino De Los Mares Ste 207A San Clemente CA 92673-2832
Phone: (714) 345-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1831615467
LBN Legal business name Randall, Lily
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2017
Last updated Oct 21st, 2020 - about 5 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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