Colker, Randall L

Colker, Randall L is an individual health care provider with primary practice located at 11825 Rock Landing Drive Rock Landing Psychological Group, Newport News VA 23606. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Colker, Randall L can be contacted via phone (757) 873-1736.

Contact Information

Primary practice address
11825 Rock Landing Drive Rock Landing Psychological Group Newport News VA 23606
Phone: (757) 873-1736
Fax: (757) 873-1028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810000710 Virginia

Profile Details

NPI number 1598771727
LBN Legal business name Colker, Randall L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598771727 NPPES
Virginia MEDICAID 1007712294

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