| Angie Randazzo, Ph.d. | |
|
1901 Airport Way Fairbanks AK 99701 | |
| (907) 420-0540 | |
| (314) 256-2901 |
| Full Name | Angie Randazzo, Ph.d. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1901 Airport Way, Fairbanks, Alaska |
| Authorized Official Name and Position | Angie Randazzo (DIRECTOR) |
| Authorized Official Contact | 3148638550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angie Randazzo, Ph.d. 225 S Meramec Ave Clayton MO 63105-3511 Ph: (314) 580-4691 | Angie Randazzo, Ph.d. 1901 Airport Way Fairbanks AK 99701 Ph: (907) 420-0540 |
| NPI Number | 1770772345 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 07/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770772345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 01798 (Missouri) | Primary |
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