| 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 |