| Doctor Name: | DR. SUSAN DANNENBERG RANDOING |
| NPI Number: | 1063564029 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 31375 |
| Business Practice Address: | 400 N Allen Dr Suite 208 Allen, TX - 750132555 |
| Business Phone Number: | 9727273627 |
| Business Fax Number: | |
| Mailing Address: | 4720 Angel Fire Dr, RICHARDSON |
| State: | TX |
| Postal Code: | 750823878 |
| Phone Number: | 9726729124 |
| Fax Number: | |
| NPI Enumeration Date: | 01/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 31375 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |