Thomas, Randall Stephen

Thomas, Randall Stephen is an sole proprietor health care provider with primary practice located at 3 Loockerman Ave , Poughkeepsie NY 12601-4905. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Thomas, Randall Stephen can be contacted via phone (845) 471-2267.

Contact Information

Primary practice address
3 Loockerman Ave Poughkeepsie NY 12601-4905
Phone: (845) 471-2267
Fax: (860) 868-1288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 8681-1 New York
Behavioral Health & Social Service Providers / Psychologist 103T00000X 8681-1 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 8681-1 New York

Profile Details

NPI number 1467590802
LBN Legal business name Thomas, Randall Stephen
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467590802 NPPES
New York MEDICAID 01272-13

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