Individual
RANDALL RAY VENABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA.,LIC PSYCHOLOGIST
Contact information
Practice address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 256-7100
(304) 256-7160
Mailing address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 256-7100
(304) 256-7160
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
862
WV
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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