Epperson, Randall Craig
Epperson, Randall Craig is an sole proprietor health care provider with primary practice located at 1601 I Street Suite 440, Modesto CA 95354. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Epperson, Randall Craig can be contacted via phone (209) 523-0999.Contact Information
Primary practice address
1601 I Street Suite 440
Modesto CA 95354
Phone: (209) 523-0999
Fax: (209) 529-9671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY 8723 | California |
Profile Details
| NPI number | 1730272675 |
|---|---|
| LBN Legal business name | Epperson, Randall Craig |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730272675 | NPPES |
| California | MEDICAID | PSY-087230 |
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