Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK STEVEN RANDALL, PSYD HSPP
ActiveHealth Service Psychologist · INDIANAPOLIS, IN
Registration Details
- NPI Number
- 1538161351
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2005 (20.693683140303 yrs)
- Last Updated
- Mar 10, 2011
- License
-
20041703A (IN)
Practice Information
- Address
-
8075 NORTH SHADELAND AVENUEINDIANAPOLIS, IN, 462562693Browse IN providers · Browse ZIP 46256
- Phone
- 3176218000
- Primary Specialty
-
Health Service Psychologist
103TH0100X
Other Health Service Psychologist Providers in INDIANAPOLIS, IN
| Name | Credential | NPI |
|---|---|---|
| DR. ANN M LOVKO | PHD | 1306845516 |
| DR. ROBERTO MORALES | PH.D. | 1548245756 |
| PATRICK J MURPHY | PHD HSPP | 1871567602 |
| THOMAS DANIEL LORCH | EDD HSPP | 1356316434 |
| DR. BRIAN WILLIAM GRANT | PH. D. | 1063574994 |
| BART FERRARO | PH.D. HSPP | 1376600767 |
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.