Individual
DR. DAVID MICHAEL RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
40 HALILI LN APT 4F, KIHEI, HI 96753-6070
(808) 283-8633
Mailing address
PO BOX 1984, KIHEI, HI 96753-1984
(808) 283-8633
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY901
HI
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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