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Contact Information

RANDALL L MIDOCK, PHD
801 S LOUDOUN STREET
WINCHESTER, VA22601
 Phone: 540-667-5431
 Fax: 540-667-2655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RANDALL L MIDOCK · (Male)

NPI Number 1174625750
Status Active
Credentials PHD
Entity Individual
Enumeration date 09/02/2006
Last updated 05/29/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0803000079
  • VA Other 211030 BLUE CROSS BLUE SHIELD
  • VA Other 088289 COMMUNITY HEALTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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