Individual
DR. RANDALL CRAIG EPPERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1601 I STREET, SUITE 440, MODESTO, CA 95354
(209) 523-0999
(209) 529-9671
Mailing address
1601 I STREET, SUITE 440, MODESTO, CA 95354
(209) 523-0999
(209) 529-9671
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY 8723
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY-087230
—
CA
Enumeration date
10/02/2006
Last updated
07/08/2007
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