Provider Demographics
NPI:1770358822
Name:ELSAYED, RANDA IBRAHIM (MASTER'S DEGREE)
Entity type:Individual
Prefix:
First Name:RANDA
Middle Name:IBRAHIM
Last Name:ELSAYED
Suffix:
Gender:F
Credentials:MASTER'S DEGREE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 MCDUFFERS RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-9651
Mailing Address - Country:US
Mailing Address - Phone:252-366-0638
Mailing Address - Fax:
Practice Address - Street 1:130 JONES RD
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-2349
Practice Address - Country:US
Practice Address - Phone:919-247-2312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCELSA-IZIA7A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health