Randall Lauren Keller in Jackson Heights - Psychologist
Randall Lauren Keller - NPI 1407879281
Randall Lauren Keller is a Psychologist in Jackson Heights, New York. Randall Lauren Keller practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Randall Lauren Keller is 1407879281. The last update date is 2008-04-22.
Randall Lauren Keller's current location address is 8510 34th Ave, Jackson Heights, New York. You can contact this provider via phone number 3476452919 and fax number 7183345082. The mailing address for Randall Lauren Keller is 8510 34th Ave, Jackson Heights, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Lauren Keller |
|---|---|
| Address | 8510 34th Ave, Jackson Heights, New York |
| Phone Number | 3476452919 |
| Fax Number | 7183345082 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1407879281 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2008-04-22 |
Provider Mailing Address Detail
| Address | 8510 34th Ave |
|---|---|
| City | Jackson Heights |
| State | New York (NY) |
| Post Code | 113723244 |
| Phone Number | 3476452919 |
| Fax Number | 7183345082 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 13488 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2165057 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Randall Lauren Keller by the Centers for Medicare & Medicaid Services (CMS)?
The Randall Lauren Keller has been assigned the NPI (National Provider Identifier) 1407879281. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Randall Lauren Keller's facilities are geographically located?
The facilities of Randall Lauren Keller are physically situated at the following location: 8510 34Th Ave, Jackson Heights, NY, 113723244.
What is Randall Lauren Keller's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Randall Lauren Keller is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did the Randall Lauren Keller receive the assignment of its 1407879281 from the Centers for Medicare & Medicaid Services?
The Randall Lauren Keller was issued its 1407879281 by the Centers for Medicare & Medicaid Services on 2006-07-25.
As of what date were the details related to Randall Lauren Keller most recently updated or revised?
The information pertaining to Randall Lauren Keller, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-22.