Individual
JULIA RANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4690 FULTON ST E STE 102, ADA, MI 49301-8454
(616) 425-7701
Mailing address
1600 ARDMORE ALCOA WAY APT 301, LOUISVILLE, TN 37777-3092
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6352001051
MI
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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