Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RANDY THIBODEAIX
Active Sole ProprietorMR. RANDY THIBODEAIX is a Psychologist healthcare provider located in OPELOUSAS, Louisiana. NPI 1043758568 is currently active in the NPPES registry. Verify at CMS.
Psychologist · OPELOUSAS, LA
Registration Details
- NPI Number
- 1043758568
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 3, 2017 (9.5685009087492 yrs)
- Last Updated
- Feb 3, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
209 N MAIN STOPELOUSAS, LA, 705706256Browse LA providers · Browse ZIP 70570
- Phone
- 3379426400
- Primary Specialty
-
Psychologist
103T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.