Randall Craig Epperson in Modesto - Clinical Neuropsychologist
Randall Craig Epperson - NPI 1730272675
Randall Craig Epperson is a Clinical Neuropsychologist in Modesto, California. Randall Craig Epperson practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Randall Craig Epperson is 1730272675. The last update date is 2007-07-08.
Randall Craig Epperson's current location address is 1601 I Street, Modesto, California. You can contact this provider via phone number 2095230999 and fax number 2095299671. The mailing address for Randall Craig Epperson is 1601 I Street, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Craig Epperson |
|---|---|
| Address | 1601 I Street, Modesto, California |
| Phone Number | 2095230999 |
| Fax Number | 2095299671 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1730272675 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1601 I Street |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 95354 |
| Phone Number | 2095230999 |
| Fax Number | 2095299671 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PSY 8723 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY-087230 | CA | -- |
Post Comment/ Review Below
What is the Randall Craig Epperson's unique identification number?
The Randall Craig Epperson has been assigned the NPI (National Provider Identifier) Number 1730272675 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Randall Craig Epperson's facilities are situated?
The facilities of Randall Craig Epperson are physically located at the following address: 1601 I Street, Modesto, CA, 95354.
What is the area of specialization for Randall Craig Epperson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Randall Craig Epperson is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103G00000X.
On what date did the Randall Craig Epperson receive its 1730272675 assignment from the Centers for Medicare & Medicaid Services?
The Randall Craig Epperson was assigned its 1730272675 by the Centers for Medicare & Medicaid Services on 2006-10-02.
When was the information regarding Randall Craig Epperson most recently updated?
The details pertaining to the Randall Craig Epperson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.