Individual
RANDALL L COLKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
11825 ROCK LANDING DRIVE, ROCK LANDING PSYCHOLOGICAL GROUP, NEWPORT NEWS, VA 23606
(757) 873-1736
(757) 873-1028
Mailing address
11825 ROCK LANDING DRIVE, ROCK LANDING PSYCHOLOGICAL GROUP, NEWPORT NEWS, VA 23606
(757) 873-1736
(757) 873-1028
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000710
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007712294
—
VA
Enumeration date
07/31/2006
Last updated
07/08/2007
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