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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
IN20040664A

Other Provider Identifiers:

IssuerNumberStateType
0968903OH05
RR MEDICARE860000042IN01
200040240IN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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