Individual
DR. RANDY JOSEPH GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
430 S WEBSTER AVE, GREEN BAY, WI 54301-3959
(920) 837-3530
Mailing address
430 S WEBSTER AVE, GREEN BAY, WI 54301-3959
(920) 837-3530
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2614-057
WI
103TC0700X
Clinical Psychologist
Primary
2614-057
WI
103TH0100X
Health Service Psychologist
2614-057
WI
103TR0400X
Rehabilitation Psychologist
2614-057
WI
Other
Enumeration date
02/05/2008
Last updated
08/05/2026
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