Individual
RANDALL SHIPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 BIG TREE RD, BELLBROOK, OH 45305-1973
(937) 848-4922
Mailing address
3601 BIG TREE RD, BELLBROOK, OH 45305-1973
(937) 848-4922
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SP228
OH
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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