Organization Name: | RONAN PSYCHOLOGICAL ASSOCIATES, LLC |
NPI Number: | 1306905625 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE F. RONAN (LICENSED PSYCHOLOGIST) |
Mailing Address: | 201 S. University Avenue Mt. Pleasant |
State: | MI US |
Postal Code: | 48858 |
Phone Number: | 9897798999 |
Fax Number: | 9897792219 |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 08/09/2011 |
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: |