NPI 1073664512

Randolph Allen West, PSYD

Practitioner Clinical Psychologist Shiprock, NM

Practice location

Address: US Hwy 491 North, Shiprock, NM 87420
Phone: (505) 368-6001
Mailing address: PO Box 160, Shiprock, NM 87420-0160

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence OS5398 (CA)

Other Psychologist providers in New Mexico →

Registry record

NPI: 1073664512
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jan 2007
Record last updated: 28 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.