Smith, Ronald Russell
Smith, Ronald Russell is an individual health care provider with primary practice located at 17216 Slover Ave Ste L , Fontana CA 92337-7580. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, Ronald Russell can be contacted via phone (909) 854-3420.Contact Information
Primary practice address
17216 Slover Ave Ste L
Fontana CA 92337-7580
Phone: (909) 854-3420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY13539 | California |
Profile Details
| NPI number | 1902945496 |
|---|---|
| LBN Legal business name | Smith, Ronald Russell |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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