| Organization Name: | RONNIE L. MCLEAN |
| NPI Number: | 1144242157 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONNIE L MCLEAN (OWNER) |
| Mailing Address: | 140 Main St Suite 5 Metuchen |
| State: | NJ US |
| Postal Code: | 088402738 |
| Phone Number: | 7325488232 |
| Fax Number: | 7325488232 |
| NPI Enumeration Date: | 07/25/2006 |
| NPI Last Update Date: | 09/24/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 37PC00033700 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |