RONALD N. WILLIAMS PH.D.
Clinical Neuropsychologist
Fort Wayne, Indiana
Provider NPI: 1457358392
Provider Information:RONALD N. WILLIAMS PH.D.
Gender: M
Not Sole Proprietor
Practice Location:
11104 PARKVIEW CIRCLE DR STE 110 FORT WAYNE, IN 46845 US
Tel: 260-460-3203 Fax: 260-460-3130
Business Mailing Address:
11104 PARKVIEW CIRCLE DR STE 110 FORT WAYNE, IN 46845 US
Tel: 260-460-3203 Fax: 260-460-3130
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | IN | 20040664A |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
RR MEDICARE | 860000042 | IN | 01 |
0968903 | OH | 05 | |
200040240 | IN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin