NPI | 1376207035 |
---|---|
Doing Business As | RANDY DEXTER PSYCHOTHERAPY |
Entity Type | Organization |
Authorized Contact | RANDY DEXTER Provider/Owner 516-210-6626 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-10-27 |
Last Update Date | 2021-10-27 |