Provider Demographics
NPI:1730270976
Name:SHECTMAN, RONALD LEE (PHD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LEE
Last Name:SHECTMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 18TH ST NW
Mailing Address - Street 2:LOWER LEVEL 18
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-3513
Mailing Address - Country:US
Mailing Address - Phone:202-785-7811
Mailing Address - Fax:202-785-5881
Practice Address - Street 1:818 18TH ST NW
Practice Address - Street 2:LOWER LEVEL 18
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-3513
Practice Address - Country:US
Practice Address - Phone:202-785-7811
Practice Address - Fax:202-785-5881
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY608103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC671123Medicare ID - Type Unspecified