Randy L. Kettering Phd, PC

NPI #1194937359 in Evanston, Illinois

Provider Information

NPI Number: 1194937359
Entity Type: Organization
Organization Name: Randy L. Kettering Phd, PC
Primary Specialty: Psychologist - Clinical
Enumeration Date: May 3, 2007
Last Updated: Oct 6, 2022

Practice Location

Address: 807 DAVIS ST UNIT 605
City: Evanston
State: Illinois
ZIP Code: 60201-4820
Phone: (847) 934-8475

Authorized Official

Name: DR. RANDY LEE KETTERING, PH.D.
Title: PRESIDENT
Phone: (847) 934-8475

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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