| Doctor Name: | RONALD D. AMOS |
| NPI Number: | 1922171420 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | PSY10032 |
| Business Practice Address: | 61857 29 Palms Hwy Suite 2 Joshua Tree, CA - 922522313 |
| Business Phone Number: | 7603663483 |
| Business Fax Number: | 7603663483 |
| Mailing Address: | 61857 29 Palms Hwy, Suite 2 JOSHUA TREE |
| State: | CA |
| Postal Code: | 922522313 |
| Phone Number: | 7603663483 |
| Fax Number: | 7603663483 |
| NPI Enumeration Date: | 11/15/2006 |
| NPI Last Update Date: | 09/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | PSY10032 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |