Doctor Name: | GEORGE F RONAN |
NPI Number: | 1164581385 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 6301007695 |
Business Practice Address: | 201 S. University Ave. Mt. Pleasant, MI - 48858 |
Business Phone Number: | 9897798999 |
Business Fax Number: | 9897792219 |
Mailing Address: | 201 S University Ave, Suite 4 MT PLEASANT |
State: | MI |
Postal Code: | 488582527 |
Phone Number: | 9897798999 |
Fax Number: | 9897792219 |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 10/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6301007695 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |