Provider Demographics
NPI:1316008105
Name:RANDAZZO, CATHARINE E (PHD)
Entity Type:Individual
Prefix:DR
First Name:CATHARINE
Middle Name:E
Last Name:RANDAZZO
Suffix:
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:PO BOX 5226
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08809
Mailing Address - Country:US
Mailing Address - Phone:908-264-4600
Mailing Address - Fax:908-264-4700
Practice Address - Street 1:28 STATE ROUTE 173
Practice Address - Street 2:SUITE 4
Practice Address - City:HAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08827-4003
Practice Address - Country:US
Practice Address - Phone:908-264-4600
Practice Address - Fax:908-264-4700
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3215103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical