| Doctor Name: | RONALD RAY HART |
| NPI Number: | 1124462825 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, |
| License Number: | |
| Business Practice Address: | 1303 E Cheadle Rd Tishomingo, OK - 734604205 |
| Business Phone Number: | 5803716203 |
| Business Fax Number: | |
| Mailing Address: | 1303 E Cheadle Rd, TISHOMINGO |
| State: | OK |
| Postal Code: | 734604205 |
| Phone Number: | 5803716203 |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2013 |
| NPI Last Update Date: | 04/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |