| Ronald L. Delong, Ph.d. & Associates, Llc | |
|
607 S Broadway St Greenville OH 45331-1929 | |
| (937) 459-4025 | |
| Not Available |
| Full Name | Ronald L. Delong, Ph.d. & Associates, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 607 S Broadway St, Greenville, Ohio |
| Authorized Official Name and Position | Ronald L. Delong (OWNER) |
| Authorized Official Contact | 9374594025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald L. Delong, Ph.d. & Associates, Llc 607 S Broadway St Greenville OH 45331-1929 Ph: (937) 459-4025 | Ronald L. Delong, Ph.d. & Associates, Llc 607 S Broadway St Greenville OH 45331-1929 Ph: (937) 459-4025 |
| NPI Number | 1306437595 |
|---|---|
| Provider Enumeration Date | 01/29/2021 |
| Last Update Date | 01/29/2021 |
| Certification Date | 01/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306437595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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