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Individual

DR. TANYA MICHELLE RANDOLPH-ELGIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1356 126TH RD, STROMSBURG, NE 68666-6240
(402) 366-3411
(402) 764-4033
Mailing address
1356 126TH RD, STROMSBURG, NE 68666-6240
(402) 366-3411
(402) 764-4033

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
510
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08468
BLUE CROSS BLUE SHIELD
NE
01
241839
MIDLANDS CHOICE
NE
01
491000000
MAGELLAN
NE
01
559-692
VALUE OPTIONS
NE
01
6866600
TRIWEST
NE
Enumeration date
10/03/2006
Last updated
03/22/2026
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