Individual
RANDI S DORN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ED.D., ABPP
Contact information
Practice address
77 E MERRIMACK ST, LOWELL, MA 01852-1251
(978) 452-3711
(978) 441-9351
Mailing address
72 PARK LN, HARVARD, MA 01451-1436
(978) 452-3711
(978) 441-9351
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1797
MA
Other
Enumeration date
04/02/2006
Last updated
07/08/2007
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