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DR. RANDI D RAIZNER PH.D.

Clinical Neuropsychologist

Sugar Land, Texas

Provider NPI: 1295775617

Provider Information:
DR. RANDI D RAIZNER PH.D.
Gender: F
Sole Proprietor


Practice Location:
12946 DAIRY ASHFORD RD SUITE 200 SUGAR LAND, TX 77478 US
Tel: 713-256-1157  Fax: 346-309-2331

Business Mailing Address:
12946 DAIRY ASHFORD RD SUITE 200 SUGAR LAND, TX 77478 US
Tel: 713-256-1157  Fax: 346-309-2331

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TX32376

Other Provider Identifiers:

IssuerNumberStateType
BCBS87100ATX01
172605101TX05
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 TX - Page 1

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