Organization
FRONTLINE HARBOR PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE R RANDALL PSYD (PSYCHOLOGIST)
(916) 581-1150
Entity
Organization
Contact information
Practice address
1020 SUNCAST LN STE 104, EL DORADO HILLS, CA 95762-9335
(916) 581-1150
Mailing address
1020 SUNCAST LN STE 104, EL DORADO HILLS, CA 95762-9335
(916) 581-1150
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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