Kamen-Gredinger, Randy Ellen

Kamen-Gredinger, Randy Ellen is an sole proprietor health care provider with primary practice located at 3 White Pine Knoll Rd , Wayland MA 01778-3708. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Kamen-Gredinger, Randy Ellen can be contacted via phone (508) 358-4323.

Contact Information

Primary practice address
3 White Pine Knoll Rd Wayland MA 01778-3708
Phone: (508) 358-4323
Fax: (508) 302-8022
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3260 Massachusetts
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 3260 Massachusetts

Profile Details

NPI number 1942302674
LBN Legal business name Kamen-Gredinger, Randy Ellen
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2006
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Popular Providers