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Individual

DR. RANDALL STEPHEN THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3 LOOCKERMAN AVE, POUGHKEEPSIE, NY 12601-4905
(845) 471-2267
(860) 868-1288
Mailing address
3 LOOCKERMAN AVE, POUGHKEEPSIE, NY 12601-4905
(845) 471-2267
(860) 868-1288

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
8681-1
NY
103T00000X
Psychologist
8681-1
NY
103TC0700X
Clinical Psychologist
8681-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01272-13
NY
Enumeration date
02/01/2007
Last updated
09/11/2025
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