Randall, Edin

Randall, Edin is an individual health care provider with primary practice located at 9 Hope Ave , Waltham MA 02453-2741. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Randall, Edin can be contacted via phone (617) 355-8930.

Contact Information

Primary practice address
9 Hope Ave Waltham MA 02453-2741
Phone: (617) 355-8930
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1356774269
LBN Legal business name Randall, Edin
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2013
Last updated Sep 5th, 2014 - about 11 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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