Wood, Ronald

Wood, Ronald is an sole proprietor health care provider with primary practice located at 473 Carriage House Ln , Tarpon Springs FL 34688-7251. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Wood, Ronald can be contacted via phone (813) 695-7894.

Contact Information

Primary practice address
473 Carriage House Ln Tarpon Springs FL 34688-7251
Fax: (727) 245-8796
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH16840 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X IMH 11844 Florida

Profile Details

NPI number 1881007342
LBN Legal business name Wood, Ronald
Credentials PSY.D, M.DIV, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2014
Last updated Jul 1st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881007342 NPPES
Florida MEDICAID 105585700

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