Doctor Name: | DYANE L RANDLE |
NPI Number: | 1336287226 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | IMF |
License Number: | |
Business Practice Address: | 908 Tuolumne St Vallejo, CA - 945904641 |
Business Phone Number: | 7076488121 |
Business Fax Number: | 7076488129 |
Mailing Address: | 1701 Keesler Cir, SUISUN CITY |
State: | CA |
Postal Code: | 945856326 |
Phone Number: | 7077617665 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 12/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |