Randall Ray Masterson, M.S., C.S.P.

NPI #1790056489 in Olney, Illinois

Provider Information

NPI Number: 1790056489
Entity Type: Individual
Name: Randall Ray Masterson, M.S., C.S.P.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: M.S., C.S.P.
Enumeration Date: Jan 26, 2012
Last Updated: Jan 26, 2012

Practice Location

Address: 302 S KITCHELL AVE
Address 2: SUITE A
City: Olney
State: Illinois
ZIP Code: 62450-1500
Phone: (618) 392-2725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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