Organization
PATRICIA RANDOLPH, PH.D., CCC-A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA LOUISE RANDOLPH CCC-A (OWNER)
(301) 593-3200
Entity
Organization
Contact information
Practice address
11120 NEW HAMPSHIRE AVE, SUITE 504, SILVER SPRING, MD 20904-2633
(301) 593-3200
(301) 593-3900
Mailing address
11120 NEW HAMPSHIRE AVE, SUITE 504, SILVER SPRING, MD 20904-2633
(301) 593-3200
(301) 593-3900
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
00831
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3973773
AETNA
MD
01
—
5016973
CIGNA
MD
01
—
K098 0001
CARE FIRST BLUE CROSS BS
MD
01
—
P00281897
MEDICARE RAILROAD
MD
Enumeration date
03/04/2008
Last updated
03/04/2008
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