Healthcare Provider Details

I. General information

NPI: 1013196427
Provider Name (Legal Business Name): SCOTT REXFORD RONEY LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2007
Last Update Date: 11/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL HOSPITAL, CAMP PENDLETON SANTA MARGARITA ROAD, BLDG H100 CODE 094
CAMP PENDLETON CA
92055-5191
US

IV. Provider business mailing address

NAVAL HOSPITAL, CAMP PENDLETON SANTA MARGARITA ROAD, BLDG H100 CODE 094
CAMP PENDLETON CA
92055-5191
US

V. Phone/Fax

Practice location:
  • Phone: 760-725-1220
  • Fax: 760-725-1226
Mailing address:
  • Phone: 760-725-1220
  • Fax: 760-725-1226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number0591
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: