Organization
RANDALL RAY MASTERSON
Active
Other names
Associated Psychologists
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL R MASTERSON M.S.C.S.P. (ASSOCIATE)
(618) 392-2725
Entity
Organization
Contact information
Practice address
302 S KITCHELL AVE, OLNEY, IL 62450-1500
(618) 392-2725
Mailing address
302 S KITCHELL AVE, OLNEY, IL 62450-1500
(618) 392-2725
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.006994
IL
103TS0200X
School Psychologist
969847
IL
Other
Enumeration date
10/24/2007
Last updated
02/23/2012
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