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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RANDY L. KETTERING PHD, PC

Active Organization

RANDY L. KETTERING PHD, PC is a Clinical Psychologist organization located in EVANSTON, Illinois. NPI 1194937359 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · EVANSTON, IL

Registration Details

NPI Number
1194937359
Provider Type
Organization
NPI Issued
May 3, 2007 (19.136660836441 yrs)
Last Updated
Oct 6, 2022
License
060004613 (IL)

Practice Information

Address
807 DAVIS ST UNIT 605
EVANSTON, IL, 602014820
Browse IL providers · Browse ZIP 60201
Phone
8479348475
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Organizations in EVANSTON, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.