Individual
MR. RANDALL KENT THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 N 74TH ST, SCOTTSDALE, AZ 85257-1502
(480) 484-6836
Mailing address
2501 N 74TH ST, SCOTTSDALE, AZ 85257-1502
(480) 484-6836
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
629157
—
AZ
Enumeration date
01/31/2007
Last updated
07/09/2007
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