Provider Demographics
NPI:1225192297
Name:THOMAS RANDEL, SARAH HELEN (PHD PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:HELEN
Last Name:THOMAS RANDEL
Suffix:
Gender:F
Credentials:PHD PSYCHOLOGIST
Other - Prefix:
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Mailing Address - Street 1:PO BOX 821011
Mailing Address - Street 2:
Mailing Address - City:N RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76182
Mailing Address - Country:US
Mailing Address - Phone:817-988-9472
Mailing Address - Fax:817-379-1731
Practice Address - Street 1:250 W SOUTHLAKE BLVD
Practice Address - Street 2:SUITE 208
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092
Practice Address - Country:US
Practice Address - Phone:817-988-9472
Practice Address - Fax:817-379-1731
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX24218103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist