Individual
DR. SUSAN DANNENBERG RANDOING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
400 N ALLEN DR, SUITE 208, ALLEN, TX 75013-2555
(972) 727-3627
Mailing address
4720 ANGEL FIRE DR, RICHARDSON, TX 75082-3878
(972) 672-9124
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31375
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87267A
BCBS
TX
Enumeration date
01/18/2007
Last updated
07/08/2007
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