Mark Steven Randall, PSYD HSPP
NPI #1538161351 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1538161351
- Entity Type
- Individual
- Name
- Mark Steven Randall, PSYD HSPP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Health Service
- Credential
- PSYD HSPP
- Enumeration Date
- Aug 11, 2005
- Last Updated
- Mar 10, 2011
Practice Location
- Address
- 8075 NORTH SHADELAND AVENUE
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46256-2693
- Phone
- (317) 621-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Health Service — Health Service |
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