Individual
JEFF RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
160 NE MAYNARD RD, SUITE 200, CARY, NC 27513-9670
(919) 466-7540
(919) 466-7543
Mailing address
160 NE MAYNARD RD, SUITE 200, CARY, NC 27513-9670
(919) 466-7540
(919) 466-7543
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3889
NC
Other
Enumeration date
01/28/2010
Last updated
02/22/2010
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