Doctor Name: | DR. RONAL EUGENE SMITH |
NPI Number: | 1275699910 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PSY001390 |
Business Practice Address: | 35 Harley Ln Ringgold, GA - 307367391 |
Business Phone Number: | 7069940350 |
Business Fax Number: | |
Mailing Address: | Po Box 5, SIGNAL MOUNTAIN |
State: | TN |
Postal Code: | 373770005 |
Phone Number: | 4238867761 |
Fax Number: | 4238865035 |
NPI Enumeration Date: | 12/28/2006 |
NPI Last Update Date: | 03/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | PSY001390 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |