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Individual
DR. RANDALL W COESHOTT
Active
Individual
DR. RANDALL W COESHOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY 22560
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 22560
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY 22560
CA
103TC0700X
Clinical Psychologist
PSY 22560
CA
103TC1900X
Counseling Psychologist
PSY 22560
CA
103TE1100X
Exercise & Sports Psychologist
PSY 22560
CA
103TH0004X
Health Psychologist
PSY 22560
CA
Other
Enumeration date
07/19/2008
Last updated
10/19/2010
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