Organization
DIANE RANDALL CLINICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE L RANDALL PSY.D. (LICENSED CLINICAL PSYCHOLOGIST)
(847) 446-7636
Entity
Organization
Contact information
Practice address
109 DUNDEE AVE, BARRINGTON, IL 60010-4201
(847) 446-7636
Mailing address
842 BRISTOL DR, BARRINGTON, IL 60010-4507
(847) 446-7636
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
07/18/2024
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