Provider Demographics
NPI:1386476885
Name:RANDOLPH-WILLIAMS, GAIL J (MFT)
Entity type:Individual
Prefix:DR
First Name:GAIL
Middle Name:J
Last Name:RANDOLPH-WILLIAMS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 BISHOP HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-3211
Mailing Address - Country:US
Mailing Address - Phone:610-995-2800
Mailing Address - Fax:
Practice Address - Street 1:31 BISHOP HOLLOW RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-3211
Practice Address - Country:US
Practice Address - Phone:610-995-2800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist