Patrick David Randolph in Lubbock - Psychologist
Patrick David Randolph - NPI 1013060946
Patrick David Randolph is a Psychologist in Lubbock, Texas. Patrick David Randolph practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Patrick David Randolph is 1013060946. The last update date is 2022-10-18.
Patrick David Randolph's current location address is 5147 69th St Ste D, Lubbock, Texas. You can contact this provider via phone number 8067718808 and fax number 8067718809. The mailing address for Patrick David Randolph is 5147 69th St Ste D, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Patrick David Randolph |
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Address | 5147 69th St Ste D, Lubbock, Texas |
Phone Number | 8067718808 |
Fax Number | 8067718809 |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1013060946 |
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Provider Enumeration Date | 2007-01-22 |
Last Updated Date | 2022-10-18 |
Provider Mailing Address Detail
Address | 5147 69th St Ste D |
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City | Lubbock |
State | Texas (TX) |
Post Code | 794241646 |
Phone Number | 8067718808 |
Fax Number | 8067718809 |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | 24796 |
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 |
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99265302 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Patrick David Randolph by the Centers for Medicare & Medicaid Services (CMS)?
The Patrick David Randolph has been assigned the NPI (National Provider Identifier) 1013060946. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Patrick David Randolph?
The Patrick David Randolph is physically situated at 5147 69Th St Ste D, in the city of Lubbock, state of TX, with the postal code 794241646.
What is Patrick David Randolph's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Patrick David Randolph is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date was the 1013060946 assigned to Patrick David Randolph?
The Patrick David Randolph was issued its 1013060946 on 2007-01-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Patrick David Randolph most recently updated or revised?
The details related to Patrick David Randolph, including its address, specialty, and other relevant information, were last updated or revised on 2022-10-18.