Individual
DR. CAROL RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6130 VISTA DE LA MESA, LA JOLLA, CA 92037-6546
(619) 699-8484
Mailing address
5580 LA JOLLA BLVD STE 523, LA JOLLA, CA 92037-7651
(619) 699-8484
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY15060
CA
Other
Enumeration date
11/14/2006
Last updated
02/12/2021
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