Mark Steven Randall, PSYD HSPP - Indianapolis, IN

Mark Steven Randall, PSYDHSPP

Health Service Psychologist in Indianapolis, Indiana

NPI 1538161351

Mark Steven Randall is a Health Service Psychologist based in Indianapolis, IN and is specialized in Health Service. Mark Steven Randall practices in Indianapolis, IN and has the professional credentials of PSYDHSPP. The NPI Number for Mark Steven Randall is 1538161351 and holds a License No. 20041703A (Indiana).

The current practice location address for Mark Steven Randall is 8075 North Shadeland Avenue, Indianapolis, IN and can be reached out via phone at 317-621-8000.

Location: 8075 North Shadeland Avenue, Indianapolis, IN, 46256-4649

NPI Number

1538161351

Provider Name

Mark Steven Randall

Credential

PSYDHSPP

Provider Entity Type

Individual

Gender

Male

Address

8075 North Shadeland Avenue, Indianapolis, IN, 46256-4649

Phone Number

317-621-8000

Fax Number

Provider Enumeration Date

08/11/2005

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
680016092	01	IN	RAILROAD MEDICARE
200305690	05	IN

Address

8075 North Shadeland Avenue

City

Indianapolis

State

Indiana

Zip

46256-2693

Phone Number

317-621-8000

Fax Number

Address

8075 North Shadeland Avenue

City

Indianapolis

State

Indiana

Zip

46256-2693

Phone Number

317-621-8000

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Psychologist

Speciality

Health Service

Taxonomy

103TH0100X

License No.

20041703A (Indiana)

Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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