Jason Randall PSYD

  • NPI 1679885602
According to our database, the NPI number for Jason Randall PSYD is 1679885602 and activated since 13 years ago. Jason Randall PSYD is an individual provider who specializes in Clinical, and the primary practice location is 3770 Glenkerry Ct, Portage, MI 49024. You can also contact Jason Randall PSYD via telephone number is (269) 329-2887. Provider NPI information was last updated on 07/07/2010.

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Overview of Jason Randall PSYD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/07/2010
  • Last updated: 07/07/2010

Primary Scrop of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: 6301014496
  • License State: MI

Provider Mailing Address

  • Address: 61 Commerce Ave Sw
    Grand Rapids, MI 49503
  • Phone: 616-940-0660
  • Fax: 616-940-1965

Provider Practice Location

  • Address: 3770 Glenkerry Ct
    Portage, MI 49024
  • Phone: 269-329-2887
  • Fax: 269-329-2805

Scope of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: 6301014496
  • License State: MI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jason Randall PSYD?
  • A: The npi number for Jason Randall PSYD is 1679885602.
  • Q: What are Jason Randall PSYD's specialties?
  • A: Jason Randall PSYD's specialties are Clinical and different specialities.
  • Q: What is the medical license for Jason Randall PSYD?
  • A: The medical license number for Jason Randall PSYD is 6301014496 and issued in MI in USA.
  • Q: Where is Jason Randall PSYD practice location?
  • A: Jason Randall PSYD is practicing at 3770 Glenkerry Ct, Portage, MI 49024.
  • Q: How to contact Jason Randall PSYD?
  • A: You can contact Jason Randall PSYD via 269-329-2887.
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