Doctor Name: | DR. RONALD GENE HERRON |
NPI Number: | 1073798898 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 2-1006271-2007 |
Business Practice Address: | 183 Anna's Hope Christiansted, VI - 00820 |
Business Phone Number: | 3405131115 |
Business Fax Number: | 3407733389 |
Mailing Address: | 4046 Judith's Fancy, CHRISTIANSTED |
State: | VI |
Postal Code: | 00820 |
Phone Number: | 3405131115 |
Fax Number: | 3407733389 |
NPI Enumeration Date: | 12/31/2007 |
NPI Last Update Date: | 12/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2-1006271-2007 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |