Individual
SUSAN R RANDICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
225 S MERAMEC AVE, STE 432T, CLAYTON, MO 63105-3597
(314) 518-5674
(314) 721-6778
Mailing address
225 S MERAMEC AVE, STE 432T, CLAYTON, MO 63105-3597
(314) 518-5674
(314) 721-6778
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01112
MO
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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