Most Relevant Information
Provider Data
| NPI Number: | 1003416959 |
| Provider Name: | RONALD DEAN |
| Entity Type: | Individual |
| Taxonomy Code: | 103TB0200X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/29/2020 |
| Last Updated: | 10/29/2020 |
Provider Practice Location
1706 GOLDEN MILE ROAD
WYSOX
PA
188547708
Practice Location Phone/Fax
| Phone: | 5702121482 |
| Fax: |
Provider Mailing Location
1706 GOLDEN MILE RD
TOWANDA
PA
188489733
Provider Mailing Phone/Fax
| Phone: | 5702121482 |
| Fax: |