Mr. Randall Warren Summerville, PSYD
Mr. Randall Warren Summerville, PSYD is a Clinical Psychologist in Lombard, Illinois. Qualified in 2002, 24 years ago. Practices with Gregory Malo PSYD and Associates in Neuropsychology PC, a 3-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 24
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- PSYD — Doctor of Psychology
- A doctoral psychologist trained primarily for clinical practice.
Practice location Address checks out
477 E Butterfield Rd Ste 102Lombard, IL 60148-4880
Phone: (630) 424-8900
Fax: (630) 424-9017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 071-006658 (IL) |
|---|---|
| Clinical Neuropsychologist | Taxonomy 103G00000X · Licence 071-006658 (IL) |
| Adult Development & Aging Psychologist | Taxonomy 103TA0700X · Licence 071-006658 (IL) |
Record details
| NPI number | 1821180803 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PSYD |
| Sole proprietor | Yes |
| NPI enumerated | September 28, 2006 |
| Last updated in NPPES | December 5, 2022 |
| Certification date | November 29, 2022 |
Medicare enrollment
| Medicare specialty | CLINICAL PSYCHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2002 (24 years in practice) |
| Group practice | Gregory Malo Psyd And Associates In Neuropsychology Pc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Lombard
-
Gregory Malo PSYD & Associates in Neuropsychology PC
477 E Butterfield Rd Ste 102, Lombard, IL 60148-4880 · (630) 424-8900