Randall Ray Masterson in Olney - School
Randall Ray Masterson - NPI 1659550879
Randall Ray Masterson is a School in Olney, Illinois. Randall Ray Masterson practices all healthcare services and medical treatments related to School. The NPI Number for Randall Ray Masterson is 1659550879. The last update date is 2012-02-23.
Randall Ray Masterson's current location address is 302 S Kitchell Ave, Olney, Illinois. You can contact this provider via phone number 6183922725. The mailing address for Randall Ray Masterson is 302 S Kitchell Ave, Olney, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Randall Ray Masterson |
|---|---|
| Address | 302 S Kitchell Ave, Olney, Illinois |
| Phone Number | 6183922725 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSOCIATE |
|---|---|
| Authorized Official Name | Masterson R Randall |
| Credentials | M.S.C.S.P. |
| Telephone Number | 6183922725 |
NPI Number Detail
| NPI Number | 1659550879 |
|---|---|
| Provider Enumeration Date | 2007-10-24 |
| Last Updated Date | 2012-02-23 |
Provider Mailing Address Detail
| Address | 302 S Kitchell Ave |
|---|---|
| City | Olney |
| State | Illinois (IL) |
| Post Code | 624501500 |
| Phone Number | 6183922725 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 103Ts0200X |
| Licence No | 969847 |
|
Definition: A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide |
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What is the unique provider identifier assigned to Randall Ray Masterson?
The Randall Ray Masterson has been issued the NPI (National Provider Identifier) 1659550879 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Randall Ray Masterson's physical address?
The Randall Ray Masterson is physically located at 302 S Kitchell Ave, in the city of Olney, IL, with the postal code 624501500.
What is Randall Ray Masterson's area of expertise and its corresponding taxonomy classification?
The Randall Ray Masterson's field of specialization is School, and it falls under the taxonomy code 103Ts0200X, which categorizes healthcare providers based on their areas of practice.
When was the Randall Ray Masterson's 1659550879 issued?
The Randall Ray Masterson's 1659550879 was issued on 2007-10-24.
When was the information regarding Randall Ray Masterson most recently updated?
The details pertaining to the Randall Ray Masterson, including its address, specialty, and other relevant information, were last refreshed on 2012-02-23.
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