DR. Marque E Randall, PHD

NPI #1457371189 in Logan, Utah

Provider Information

NPI Number: 1457371189
Entity Type: Individual
Name: DR. Marque E Randall, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Counseling
Credential: PHD
Enumeration Date: Jul 19, 2006
Last Updated: Aug 31, 2007

Practice Location

Address: 1300 N 200 E
Address 2: STE 114-A
City: Logan
State: Utah
ZIP Code: 84341-2398
Phone: (435) 753-2687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Counseling — Counseling	103TC1900X	Primary

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