Randle, Dyane L

Randle, Dyane L is an individual health care provider with primary practice located at 908 Tuolumne St , Vallejo CA 94590-4641. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Randle, Dyane L can be contacted via phone (707) 648-8121.

Contact Information

Primary practice address
908 Tuolumne St Vallejo CA 94590-4641
Phone: (707) 648-8121
Fax: (707) 648-8129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 73635 California

Profile Details

NPI number 1336287226
LBN Legal business name Randle, Dyane L
Credentials IMF
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Dec 28th, 2012 - about 12 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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