Individual
DR. STEVEN RANDALL LAWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
IDAHO STATE UNIVERSITY, DEPARTMENT OF PSYCHOLOGY, STOP 8112, POCATELLO, ID 83209-8112
(208) 282-2142
(208) 282-4832
Mailing address
IDAHO STATE UNIVERSITY, DEPARTMENT OF PSYCHOLOGY, STOP 8112, POCATELLO, ID 83209-8112
(208) 282-2142
(208) 282-4832
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY202371
—
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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