Randal W. Boldt is a Clinical in Waco, Texas. Randal W. Boldt practices all healthcare services and medical treatments related to Clinical. The NPI Number for Randal W. Boldt is 1861446007. The last update date is 2007-07-08.
Randal W. Boldt's current location address is 3708 W Waco Dr, Waco, Texas. You can contact this provider via phone number 2547177427 and fax number 2547558050. The mailing address for Randal W. Boldt is 3708 W Waco Dr, Waco, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randal W. Boldt |
|---|---|
| Address | 3708 W Waco Dr, Waco, Texas |
| Phone Number | 2547177427 |
| Fax Number | 2547558050 |
| Sole Proprietor | X |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1861446007 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3708 W Waco Dr |
|---|---|
| City | Waco |
| State | Texas (TX) |
| Post Code | 767105381 |
| Phone Number | 2547177427 |
| Fax Number | 2547558050 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 31358 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0048HC | TX | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Randal W. Boldt by the Centers for Medicare & Medicaid Services?
The Randal W. Boldt has been assigned the NPI (National Provider Identifier) 1861446007 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Randal W. Boldt?
The Randal W. Boldt is physically situated at 3708 W Waco Dr, in the city of Waco, state of TX, with the postal code 767105381.
What is Randal W. Boldt's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Randal W. Boldt is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
When was the Randal W. Boldt's 1861446007 issued?
The Randal W. Boldt's 1861446007 was issued on 2006-05-20.
When was the information regarding Randal W. Boldt most recently updated?
The details pertaining to the Randal W. Boldt, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.