Provider Demographics
NPI:1700933496
Name:SMITH, RONALD DAVID (MASTERS OF SCIENCE)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:DAVID
Last Name:SMITH
Suffix:
Gender:M
Credentials:MASTERS OF SCIENCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:115 ACORN LANE
Mailing Address - Street 2:#217
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-4220
Mailing Address - Country:US
Mailing Address - Phone:925-458-4660
Mailing Address - Fax:
Practice Address - Street 1:2086 COMMERCE AVE
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-4902
Practice Address - Country:US
Practice Address - Phone:925-603-1670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health