Wood, Randall Scott

Wood, Randall Scott is an sole proprietor health care provider with primary practice located at 133 N 4Th St Suite 506, Lafayette IN 47901-1371. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Wood, Randall Scott can be contacted via phone (765) 409-6168.

Contact Information

Primary practice address
133 N 4Th St Suite 506 Lafayette IN 47901-1371
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39001642A Indiana

Profile Details

NPI number 1073705299
LBN Legal business name Wood, Randall Scott
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2007
Last updated Apr 18th, 2012 - about 14 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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