Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RANDALL WARREN SUMMERVILLE, PSYD
Active Sole ProprietorMR. RANDALL WARREN SUMMERVILLE, PSYD is a Clinical Psychologist healthcare provider located in LOMBARD, Illinois. NPI 1821180803 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · LOMBARD, IL
Registration Details
- NPI Number
- 1821180803
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2006 (19.833708412346 yrs)
- Last Updated
- Dec 5, 2022
- Licenses
-
071-006658 (IL)071-006658 (IL)071-006658 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
477 E BUTTERFIELD RD STE 102LOMBARD, IL, 601484880Browse IL providers · Browse ZIP 60148
- Phone
- 6304248900
- Fax
- 6304249017
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Adult Development & Aging Psychologist
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in LOMBARD, IL
| Name | Credential | NPI |
|---|---|---|
| DR. CONNIE BEA NATVIG | PHD | 1114902962 |
| DR. TERRY HARLAN SHAPIRO | PH.D. | 1801821764 |
| DR. NANCY A KUNKEL | PSYD | 1235292103 |
| DR. JAMES MARTIN ABEC | PH.D. | 1770791907 |
| SAMAR HARFI | B.A | 1538497441 |
| NANCY SCHNEIDER | PSYD | 1841564440 |
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.