| Doctor Name: | RANDI L EYERMAN |
| NPI Number: | 1033256375 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 444427-1 |
| Business Practice Address: | 69 Church St Hoosick Falls, NY - 120901642 |
| Business Phone Number: | 5186860694 |
| Business Fax Number: | 5186864862 |
| Mailing Address: | 34 Pillars Ln, AVERILL PARK |
| State: | NY |
| Postal Code: | 120183303 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 444427-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |