Individual
MS. SUSAN L RANDLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1 MEDICAL CENTER DR, DARTMOUTH HITCHCOCK - PSYCHIATRY, LEBANON, NH 03756-1000
(603) 653-1732
Mailing address
1 MEDICAL CENTER DR, DARTMOUTH HITCHCOCK - PSYCHIATRY, LEBANON, NH 03756-1000
(603) 653-1732
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
433
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14Y007920NH01
ANTHEM
NH
01
—
2038681
CIGNA
NH
05
—
30423160
—
NH
01
—
800119026-01
HARVARD PILGRIM-PACIFICAR
NH
Enumeration date
02/14/2007
Last updated
10/05/2016
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