Individual
CAROLYN RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18700 BEACH BLVD STE 120, HUNTINGTON BEACH, CA 92648-2089
(714) 962-6760
Mailing address
18700 BEACH BLVD STE 120, HUNTINGTON BEACH, CA 92648-2089
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13831
CA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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