Individual
DR. RANDI NICHOLS MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1270 EGLIN PKWY, SUITE C-12, SHALIMAR, FL 32579-2306
(850) 613-6677
(850) 613-6993
Mailing address
1270 EGLIN PKWY, SUITE C-12, SHALIMAR, FL 32579-2306
(850) 613-6677
(850) 613-6993
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PY60026315
WA
103TC0700X
Clinical Psychologist
Primary
PY7940
FL
Other
Enumeration date
04/21/2009
Last updated
04/05/2013
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