Individual
DR. RANDY D. WHITESELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
29029 UPPER BEAR CREEK RD STE 303, EVERGREEN, CO 80439-7722
(303) 670-3023
Mailing address
29029 UPPER BEAR CREEK RD STE 303, EVERGREEN, CO 80439-7722
(303) 670-3023
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1116
CO
Other
Enumeration date
07/14/2007
Last updated
07/14/2007
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