Mark Steven Randall in Indianapolis - Health Service
Mark Steven Randall - NPI 1538161351
Mark Steven Randall is a Health Service in Indianapolis, Indiana. Mark Steven Randall practices all healthcare services and medical treatments related to Health Service. The NPI Number for Mark Steven Randall is 1538161351. The last update date is 2011-03-10.
Mark Steven Randall's current location address is 8075 North Shadeland Avenue, Indianapolis, Indiana. You can contact this provider via phone number 3176218000. The mailing address for Mark Steven Randall is 8075 North Shadeland Avenue, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Steven Randall |
|---|---|
| Address | 8075 North Shadeland Avenue, Indianapolis, Indiana |
| Phone Number | 3176218000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD HSPP |
NPI Number Detail
| NPI Number | 1538161351 |
|---|---|
| Provider Enumeration Date | 2005-08-11 |
| Last Updated Date | 2011-03-10 |
Provider Mailing Address Detail
| Address | 8075 North Shadeland Avenue |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462562693 |
| Phone Number | 3176218000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | 20041703A |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 680016092 | IN | RAILROAD MEDICARE | |
| 200305690 | IN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mark Steven Randall by the Centers for Medicare & Medicaid Services?
The Mark Steven Randall has been issued the NPI (National Provider Identifier) 1538161351. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mark Steven Randall is geographically located?
The Mark Steven Randall is physically situated at the following location: 8075 North Shadeland Avenue, Indianapolis, IN, 462562693.
What is Mark Steven Randall's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Steven Randall is Health Service, and the taxonomy code that classifies this field of practice is 103Th0100X.
When did Mark Steven Randall receive its 1538161351 assignment?
The Mark Steven Randall was assigned its 1538161351 on 2005-08-11, which is the date when this unique identifier was issued to the organization.
When was the information regarding Mark Steven Randall most recently updated?
The details pertaining to the Mark Steven Randall, including its address, specialty, and other relevant information, were last refreshed on 2011-03-10.
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