Provider Demographics
NPI:1659031409
Name:HELFAND, RANDI MICHELLE (LAC)
Entity Type:Individual
Prefix:
First Name:RANDI
Middle Name:MICHELLE
Last Name:HELFAND
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:RANDI
Other - Middle Name:MICHELLE
Other - Last Name:WEINBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26 PRICE AVE
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-2169
Mailing Address - Country:US
Mailing Address - Phone:732-236-5309
Mailing Address - Fax:
Practice Address - Street 1:14 E EAGLE RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-1424
Practice Address - Country:US
Practice Address - Phone:610-789-1120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-21
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK001163171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist