| Doctor Name: | RANDOLPH ALLEN WEST |
| NPI Number: | 1073664512 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY D |
| License Number: | 543 |
| Business Practice Address: | 222 Tongass Dr Sitka, AK - 998359416 |
| Business Phone Number: | 9079662411 |
| Business Fax Number: | 9079668606 |
| Mailing Address: | 222 Tongass Dr, SITKA |
| State: | AK |
| Postal Code: | 998359416 |
| Phone Number: | 9079662411 |
| Fax Number: | 9079668606 |
| NPI Enumeration Date: | 01/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 543 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |