Organization
THERAPRACTIC MANAGEMENT SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK DAVID RANDOLPH PH.D. (LICENSED PSYCHOLOGIST)
(806) 771-8808
Entity
Organization
Contact information
Practice address
5147 69TH ST STE D, LUBBOCK, TX 79424-1646
(806) 771-8808
(806) 771-8809
Mailing address
5147 69TH ST STE D, LUBBOCK, TX 79424-1646
(806) 771-8808
(806) 771-8809
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/03/2018
Last updated
01/02/2024
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