Mary M. Randlett in Saint Louis - Psychologist

Mary M. Randlett - NPI 1811027451

Mary M. Randlett is a Psychologist in Saint Louis, Missouri. Mary M. Randlett practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mary M. Randlett is 1811027451. The last update date is 2007-07-08.

Mary M. Randlett's current location address is 4231 Laclede Ave, Saint Louis, Missouri. You can contact this provider via phone number 3145355200 and fax number 3142899983. The mailing address for Mary M. Randlett is 4231 Laclede Ave, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary M. Randlett
Address 4231 Laclede Ave, Saint Louis, Missouri
Phone Number 3145355200
Fax Number 3142899983
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1811027451
Provider Enumeration Date 2007-03-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4231 Laclede Ave
City Saint Louis
State Missouri (MO)
Post Code 631082814
Phone Number 3145355200
Fax Number 3142899983

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No R0010
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Mary M. Randlett

What is the unique identifier code issued to Mary M. Randlett by the Centers for Medicare & Medicaid Services?

The Mary M. Randlett has been assigned the NPI (National Provider Identifier) 1811027451. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Mary M. Randlett's physical address?

The Mary M. Randlett is physically located at 4231 Laclede Ave, in the city of Saint Louis, MO, with the postal code 631082814.

What is the Mary M. Randlett's specialty and taxonomy code?

The Mary M. Randlett's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.

On what date did the Mary M. Randlett receive its 1811027451 assignment from the Centers for Medicare & Medicaid Services?

The Mary M. Randlett was assigned its 1811027451 by the Centers for Medicare & Medicaid Services on 2007-03-06.

When was the information regarding Mary M. Randlett, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mary M. Randlett, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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