Taylor, Randie Jill

Taylor, Randie Jill is an sole proprietor health care provider with primary practice located at 2780 Middle Country Rd Suite 209, Lake Grove NY 11755-2124. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Taylor, Randie Jill can be contacted via phone (631) 471-0688.

Contact Information

Primary practice address
2780 Middle Country Rd Suite 209 Lake Grove NY 11755-2124
Phone: (631) 471-0688
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X P57441 New York

Profile Details

NPI number 1821286279
LBN Legal business name Taylor, Randie Jill
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2007
Last updated Oct 11th, 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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