Individual
DR. CHRISTOPHER AARON RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3827 ROUTE 100, PITTSFIELD, VT 05762
(952) 212-8216
Mailing address
PO BOX 729, KILLINGTON, VT 05751-0729
(952) 212-8216
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048.0111408
VT
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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