Provider Demographics
NPI:1013159870
Name:TORSTENSON, RANDI (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RANDI
Middle Name:
Last Name:TORSTENSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 IRVING PL FL 6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2237
Mailing Address - Country:US
Mailing Address - Phone:347-346-3209
Mailing Address - Fax:
Practice Address - Street 1:67 IRVING PL FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2237
Practice Address - Country:US
Practice Address - Phone:347-346-3209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-25
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017429103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical