Ronald M. Doctor is a Clinical in Malibu, California. Ronald M. Doctor practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ronald M. Doctor is 1649496001. The last update date is 2007-07-08.
Ronald M. Doctor's current location address is 18208 Kingsport Dr, Malibu, California. You can contact this provider via phone number 3102309804. The mailing address for Ronald M. Doctor is 18208 Kingsport Dr, Malibu, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ronald M. Doctor |
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Address | 18208 Kingsport Dr, Malibu, California |
Phone Number | 3102309804 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1649496001 |
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Provider Enumeration Date | 2007-04-17 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 18208 Kingsport Dr |
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City | Malibu |
State | California (CA) |
Post Code | 902655636 |
Phone Number | 3102309804 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | PL3474 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Ronald M. Doctor by the Centers for Medicare & Medicaid Services (CMS)?
The Ronald M. Doctor has been assigned the NPI (National Provider Identifier) 1649496001. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Ronald M. Doctor?
The Ronald M. Doctor is situated at 18208 Kingsport Dr, in the city of Malibu, state of CA, with the zip code 902655636.
What is Ronald M. Doctor's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ronald M. Doctor is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Ronald M. Doctor receive its 1649496001 assignment from the Centers for Medicare & Medicaid Services?
The Ronald M. Doctor was assigned its 1649496001 by the Centers for Medicare & Medicaid Services on 2007-04-17.
When was the information related to Ronald M. Doctor most recently updated or refreshed?
The details pertaining to the Ronald M. Doctor, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA