Healthcare Provider Details

I. General information

NPI: 1992956213
Provider Name (Legal Business Name): RONALD J. REFICE PHD AND ASSOCIATES LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2008
Last Update Date: 10/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 BOULEVARD AVE
DICKSON CITY PA
18519-1710
US

IV. Provider business mailing address

650 BOULEVARD AVE
DICKSON CITY PA
18519-1710
US

V. Phone/Fax

Practice location:
  • Phone: 570-383-2799
  • Fax: 570-383-0063
Mailing address:
  • Phone: 570-383-2799
  • Fax: 570-383-0063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE TOLERICO
Title or Position: OWNER
Credential: LCSW
Phone: 570-383-2799