Doctor Name: | MR. RONALD JOHN PALLICK |
NPI Number: | 1508008277 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCAS, P-LCSW, LSSW |
License Number: | P004410 |
Business Practice Address: | 205 Locust Ave Suite C Spruce Pine, NC - 287772713 |
Business Phone Number: | 8287654463 |
Business Fax Number: | 8287656257 |
Mailing Address: | 205 Locust Ave, Suite C SPRUCE PINE |
State: | NC |
Postal Code: | 287772713 |
Phone Number: | 8287654463 |
Fax Number: | 8287656257 |
NPI Enumeration Date: | 03/27/2009 |
NPI Last Update Date: | 03/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | P004410 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |