Individual
DR. AUSTIN GONZALEZ-RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
712 MONROE AVE, SOUTH MILWAUKEE, WI 53172-2126
(425) 780-5094
(425) 537-6473
Mailing address
100 N HOWARD ST STE R, SPOKANE, WA 99201-0508
(425) 780-5094
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4078-57
WI
103T00000X
Psychologist
Primary
PY61278527
WA
Other
Enumeration date
05/12/2021
Last updated
06/24/2025
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