SearchNevada101YP2500X

Theodora Randolph

NPI 1245570027 · on the registry since 2013 · sole proprietor

Practice

Address
3514 E Tropicana Ave Ste 2c
Las Vegas, NV 89121
Phone
(029) 923-2897
Organisation at this address
Desert Star Mental Health Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada