| Provider / Organization | NPI | Date Certified |
|---|---|---|
| RYAN A RANDALL | 1508401084 | 2021-01-10 |
Ryan A Randall is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1508401084. Registration indicates Ryan A Randall is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist Clinical, Behavioral Health & Social Service Providers) (Psychologist, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Psychologist) (Behavioral Health & Social Service Providers, Psychologist) (Psychologist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Dr. Ryan A Randall LCP |
| Practice Office Address | 1775 FORRESTAL DR BLDG 33 NORFOLK, VA US |
| Practice Office Telephone | 7573271076 |
| Mailing Address | 168 MARINA WYND WAY SNEADS FERRY, NC 284609104 US |
| Business Telephone | 7573271076 |
| Code | Practice | License No State |
|---|---|---|
| 103TC0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist: Clinical Behavioral Health/Substance Abuse/Psychiatry Psychologist Clinical Behavioral Health & Social Service Providers Psychologist | 0810007248
VA |
| 103T00000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist Behavioral Health/Substance Abuse/Psychiatry Psychologist Behavioral Health & Social Service Providers |
VA |