Wallace, Randall Kent
Wallace, Randall Kent is an sole proprietor health care provider with primary practice located at 36 Russ St , Hartford CT 06106-1520. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wallace, Randall Kent can be contacted via phone (860) 466-9411.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2544 | Connecticut |
Profile Details
| NPI number | 1891049003 |
|---|---|
| LBN Legal business name | Wallace, Randall Kent |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2012 |
| Last updated | Nov 9th, 2016 - about 10 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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