Individual
RANDALL RAY MASTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., C.S.P.
Contact information
Practice address
302 S KITCHELL AVE, SUITE A, OLNEY, IL 62450-1500
(618) 392-2725
(866) 302-0227
Mailing address
302 S KITCHELL AVE, SUITE A, OLNEY, IL 62450-1500
(618) 392-2725
(866) 302-0227
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
969847
IL
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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