Doctor Name: | DR. RONALD LESLIE HOSCHOUER |
NPI Number: | 1225195522 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | LP0817 |
Business Practice Address: | 1700 Livingston Ave Suite 215 West St Paul, MN - 551185908 |
Business Phone Number: | 6516882335 |
Business Fax Number: | 6516882669 |
Mailing Address: | 1700 Livingston Ave, Suite 215 WEST ST PAUL |
State: | MN |
Postal Code: | 551185908 |
Phone Number: | 6516882335 |
Fax Number: | 6516882669 |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 04/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | LP0817 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |