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Search › New Hampshire › 103G00000X

John Randolph, PH.D

NPI 1700881463 · on the registry since 2005 · sole proprietor

Practice

Address
20 W Park St
Ste 215
Lebanon, NH 03766
Phone
(603) 448-6779
Fax
(603) 653-0246
Organisation at this address
Mill Brook Wellness, Pllc
Affirm Medical Group Pllc
Change With More Ease Llc
Alice Peck Day Memorial Hospital
Kimberly Knowlton-Young, Licsw Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
103G00000X
103G00000X
Also registered as
103T00000X
Licence states on file
NH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-03-04

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 New Hampshire