Randolph, John L

Randolph, John L is an individual health care provider with primary practice located at 43 Starbird St. , Malden MA 02148-2835. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Randolph, John L can be contacted via phone (781) 321-6424.

Contact Information

Primary practice address
43 Starbird St. Malden MA 02148-2835
Phone: (781) 321-6424
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 3875 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3875 Massachusetts

Profile Details

NPI number 1750481214
LBN Legal business name Randolph, John L
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 11th, 2012 - about 13 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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