Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRYAN J RANDOLPH, LICSW
ActiveMR. BRYAN J RANDOLPH, LICSW is a Clinical Social Worker healthcare provider located in PIKE, New Hampshire. NPI 1639536147 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · PIKE, NH
Registration Details
- NPI Number
- 1639536147
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 28, 2016 (10.567598438673 yrs)
- Last Updated
- Jan 28, 2016
- License
-
1894 (NH)
Practice Information
- Address
-
2274 MOUNT MOOSILAUKE HWYPIKE, NH, 037805615Browse NH providers · Browse ZIP 03780
- Phone
- 6039893500
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in PIKE, NH
| Name | Credential | NPI |
|---|---|---|
| TRACY MITCHELL THOMPSON | LICSW | 1801022132 |
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.