Individual
DR. JOHN JAMES RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
20 W PARK ST, STE 215, LEBANON, NH 03766-1378
(603) 448-6779
(603) 653-0246
Mailing address
20 W PARK ST, SUITE 215, LEBANON, NH 03766-1378
(603) 653-0330
(603) 653-0330
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1027
NH
103T00000X
Psychologist
1027
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00068596
BLUE CROSS BLUE SHIELD
VT
01
—
06Y007347NH01
ANTHEM BLUE CROSS BLUE SH
NH
Enumeration date
06/17/2005
Last updated
03/04/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us