Doctor Name: | RONALD G HRYNKOW |
NPI Number: | 1134314669 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA |
License Number: | 1479 |
Business Practice Address: | 267 6th St Meeker, CO - 81641 |
Business Phone Number: | 9708785112 |
Business Fax Number: | 9708784315 |
Mailing Address: | Po Box 40, GLENWOOD SPRINGS |
State: | CO |
Postal Code: | 816020040 |
Phone Number: | 9709452241 |
Fax Number: | 9709455523 |
NPI Enumeration Date: | 09/07/2007 |
NPI Last Update Date: | 09/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1479 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |