Organization
PSYCHOLOGICAL TRANSITIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICE RANDOLPH EDD MSCP (CEO)
(216) 215-8000
Entity
Organization
Contact information
Practice address
3850 E HARBOR LIGHT LANDING DR, PORT CLINTON, OH 43452-3877
(419) 734-3333
(877) 734-2030
Mailing address
3850 E HARBOR LIGHT LANDING DR, PORT CLINTON, OH 43452-3877
(419) 734-3333
(419) 734-3335
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0182403
—
OH
01
—
222324000
MAGELLAN
OH
Enumeration date
08/28/2006
Last updated
05/25/2021
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