Ron Dewayne Randall in Fort Worth - Marriage & Family Therapist
Ron Dewayne Randall - NPI 1932205705
Ron Dewayne Randall is a Marriage & Family Therapist in Fort Worth, Texas. Ron Dewayne Randall practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Ron Dewayne Randall is 1932205705. The last update date is 2019-04-24.
Ron Dewayne Randall's current location address is 3404 Martin Lydon, Fort Worth, Texas. You can contact this provider via phone number 8179275462 and fax number 8179209553. The mailing address for Ron Dewayne Randall is 3404 Martin Lydon, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ron Dewayne Randall |
|---|---|
| Address | 3404 Martin Lydon, Fort Worth, Texas |
| Phone Number | 8179275462 |
| Fax Number | 8179209553 |
| Sole Proprietor | Y |
| Credentials | MED LPC LM |
NPI Number Detail
| NPI Number | 1932205705 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2019-04-24 |
Provider Mailing Address Detail
| Address | 3404 Martin Lydon |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761331419 |
| Phone Number | 8179275462 |
| Fax Number | 8179209553 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 3617 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the Ron Dewayne Randall's unique identification number?
The Ron Dewayne Randall has been assigned the NPI (National Provider Identifier) Number 1932205705 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Ron Dewayne Randall's facilities are geographically located?
The facilities of Ron Dewayne Randall are physically situated at the following location: 3404 Martin Lydon, Fort Worth, TX, 761331419.
What is Ron Dewayne Randall's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ron Dewayne Randall is Marriage & Family Therapist, and the corresponding taxonomy classification code for this specialized field is 106H00000X.
On what date did the Ron Dewayne Randall receive the assignment of its 1932205705 from the Centers for Medicare & Medicaid Services?
The Ron Dewayne Randall was issued its 1932205705 by the Centers for Medicare & Medicaid Services on 2006-09-16.
As of what date was the information regarding Ron Dewayne Randall, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ron Dewayne Randall, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-04-24.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH