Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RANDY JAMES WILLS, MA LP
Active Sole ProprietorMR. RANDY JAMES WILLS, MA LP is a Psychologist healthcare provider located in COKATO, Minnesota. NPI 1508941931 is currently active in the NPPES registry. Verify at CMS.
Psychologist · COKATO, MN
Registration Details
- NPI Number
- 1508941931
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2006 (19.619527207778 yrs)
- Last Updated
- Sep 25, 2008
- License
-
LP0388 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13637 60TH ST SWCOKATO, MN, 553214210Browse MN providers · Browse ZIP 55321
- Phone
- 3202862922
- Fax
- 3202862875
- 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.