Randall Ray Masterson

NPI #1659550879 in Olney, Illinois

Provider Information

NPI Number
1659550879
Entity Type
Organization
Organization Name
Randall Ray Masterson
Primary Specialty
Psychologist - Clinical
Enumeration Date
Oct 24, 2007
Last Updated
Feb 23, 2012

Practice Location

Address
302 S KITCHELL AVE
City
Olney
ZIP Code
62450-1500
Phone
(618) 392-2725

Authorized Official

Name
RANDALL R MASTERSON, M.S.C.S.P.
Title
ASSOCIATE
Phone
(618) 392-2725

Specialties & Taxonomy Codes

Specialty
Psychologist - SchoolSchool
Psychologist - ClinicalClinical

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