Individual provider · Type 1 NPI

Jason Randall, PSYD

Clinical Psychologist · Portage, MI

NPI number 1679885602 Active

Practice location

3770 Glenkerry Ct
Portage, MI 49024-0700

Call (269) 329-2887 Map

Fax (269) 329-2805

Mailing address

61 Commerce Ave SW
Grand Rapids, MI 49503-4124

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X6301014496 (MI)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1679885602

Jason Randall, PSYD's National Provider Identifier is 1679885602, issued on Jul 7, 2010. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Portage, MI. The record was last updated on Jul 7, 2010.