Dr. Randy Joseph Gage
Health Service Clinical Psychologist Rehabilitation Psychologist
2925 Mondovi Rd
Eau Claire
, Wisconsin 54701-6141
Dr. Randy Joseph Gage
Health Service Clinical Psychologist Rehabilitation Psychologist
2925 Mondovi Rd
Eau Claire
, Wisconsin 54701-6141
(715) 832-0771
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About
Features
Specialties
- Clinical Psychologist
- Health Service
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Dr. Randy Joseph Gage
- 2925 Mondovi Rd
- Eau Claire, WI
- Zip : 54701-6141
- Fax : (715) 832-0771
- Phone : (715) 832-0238
Second Address
- Dr. Randy Joseph Gage
- 2925 Mondovi Rd
- Eau Claire, WI
- Zip : 54701-6141
- Fax : (715) 832-0771
- Phone : (715) 832-0238
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | 2614-057 | WI |
| N | 103TC0700X | Clinical Psychologist | 2614-057 | WI |
| Y | 103G00000X | Clinical Psychologist | 2614-057 | WI |
| Y | 103TC0700X | Clinical Psychologist | 2614-057 | WI |
| N | 103TH0100X | Health Service | 2614-057 | WI |
| N | 103TR0400X | Rehabilitation Psychologist | 2614-057 | WI |
National Provider Identifier
| NPI | 1104004787 |
|---|---|
| Provider Name | Dr. Randy Joseph Gage |
| First Address | Eau Claire, WI 54701-6141 |
| Second Address | Eau Claire, WI 54701-6141 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/02/2008 |
| Last Update Date | 06/12/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.