Angie Randazzo, Ph.d. | |
1901 Airport Way Fairbanks AK 99701 | |
(907) 420-0540 | |
(314) 256-2901 |
Full Name | Angie Randazzo, Ph.d. |
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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 |
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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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