Provider Demographics
NPI:1629836200
Name:SCOTT-MCLAUGHLIN, RANDI ELFRIDA II (PHD)
Entity Type:Individual
Prefix:DR
First Name:RANDI
Middle Name:ELFRIDA
Last Name:SCOTT-MCLAUGHLIN
Suffix:II
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 SAINT NICHOLAS AVE APT 1N
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-3609
Mailing Address - Country:US
Mailing Address - Phone:201-338-0179
Mailing Address - Fax:
Practice Address - Street 1:327 SAINT NICHOLAS AVE APT 1N
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-3609
Practice Address - Country:US
Practice Address - Phone:201-338-0179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026311-01103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist