Doctor Name: | MR. RONALD JAMES WHALEN |
NPI Number: | 1013907898 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW |
License Number: | |
Business Practice Address: | Bldg 920 Fort Stewart, GA - 31314 |
Business Phone Number: | 9127672620 |
Business Fax Number: | |
Mailing Address: | 90 Cottage Ct, RICHMOND HILL |
State: | GA |
Postal Code: | 313244188 |
Phone Number: | 9127565918 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |