Individual
RANDY L TELANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
600 E 5TH ST, FULTON, MO 65251-1753
(573) 592-2623
Mailing address
1302 STABLESTONE LN, COLUMBIA, MO 65201-2892
(573) 489-8573
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2006000183
MO
103TC0700X
Clinical Psychologist
Primary
2006000183
MO
Other
Enumeration date
06/01/2006
Last updated
08/25/2022
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