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:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | TX | 32376 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS | 87100A | TX | 01 |
172605101 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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