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DR. JOHN JAMES RANDOLPH PH.D.

Clinical Neuropsychologist

Lebanon, New Hampshire

Provider NPI: 1700881463

Provider Information:
DR. JOHN JAMES RANDOLPH PH.D.
Gender: M
Sole Proprietor


Practice Location:
20 W PARK ST STE 215 LEBANON, NH 03766 US
Tel: 603-448-6779  Fax: 603-653-0246

Business Mailing Address:
20 W PARK ST SUITE 215 LEBANON, NH 03766 US
Tel: 603-653-0330  Fax: 603-653-0330

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NH1027
N103T00000XBehavioral Health & Social Service Providers
Psychologist
NH1027

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD00068596VT01
ANTHEM BLUE CROSS BLUE SH06Y007347NH01NH01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS NH - Page 1

1 Neuropsychologist, Dartmouth-Hitchcock Neuropsychologist Lebanon, NH, USA The program provides clinical assessment, pre- and postdoctoral training, and maintains a ... Clinical responsibilities include provision of neuropsychological services and supervision of ...... Apply Now>>



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