| Doctor Name: | RONALD E. BASIL |
| NPI Number: | 1275586117 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW, MSW |
| License Number: | LCSW5070 |
| Business Practice Address: | 590 S Ocotillo Ave Benson, AZ - 856026405 |
| Business Phone Number: | 8005867080 |
| Business Fax Number: | 5205863163 |
| Mailing Address: | 489 N Arroyo Blvd, NOGALES |
| State: | AZ |
| Postal Code: | 856212644 |
| Phone Number: | 5202874713 |
| Fax Number: | 5202879794 |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 02/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW5070 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |