NPI 1700881463

John James Randolph, PHD

Practitioner Clinical Neuropsychologist Lebanon, NH

Practice location

Address: 20 W Park St STE 215, Lebanon, NH 03766-1378
Phone: (603) 448-6779
Fax: (603) 653-0246
Mailing address: 20 W Park St Suite 215, Lebanon, NH 03766-1378

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 1027 (NH)

Other Clinical Neuropsychologist providers in New Hampshire →

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 1027 (NH)

Other Psychologist providers in New Hampshire →

Registry record

NPI: 1700881463
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jun 2005
Record last updated: 4 Mar 2014

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.