Ms. Theodora Lugene Randolph
Cognitive & Behavioral Psychologist Clinical Child & Adolescent Psychologist
6007 Crumbling Ridge St
Henderson
, Nevada 89011-1898
Ms. Theodora Lugene Randolph
Cognitive & Behavioral Psychologist Clinical Child & Adolescent Psychologist
6007 Crumbling Ridge St
Henderson
, Nevada 89011-1898
(702) 544-9454
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Ms. Theodora Lugene Randolph
- 6007 Crumbling Ridge St
- Henderson, NV
- Zip : 89011-1614
- Phone : (702) 544-9454
Second Address
- Ms. Theodora Lugene Randolph
- 6007 Crumbling Ridge St
- Henderson, NV
- Zip : 89011-1898
- Phone : (702) 544-9454
Reviews
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Is Ms. Theodora Lugene Randolph a sole practitioner?
Is Ms. Theodora Lugene Randolph accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist |
National Provider Identifier
| NPI | 1245570027 |
|---|---|
| Provider Name | Ms. Theodora Lugene Randolph |
| First Address | Henderson, NV 89011-1614 |
| Second Address | Henderson, NV 89011-1898 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/02/2013 |
| Last Update Date | 20/10/2016 |
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.