Individual
DR. TODD RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3000 CONNECTICUT AVE NW, SUITE 210, WASHINGTON, DC 20008-2509
(571) 309-7407
Mailing address
3000 CONNECTICUT AVE NW, SUITE 210, WASHINGTON, DC 20008-2509
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1000475
DC
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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