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NPI Code Detail

MEDICARE: RONALD E ACIERNO PHD

MEDICARE: RONALD E ACIERNO PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist38479TX
2103T00000XPsychologist693SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013025972
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD E ACIERNO PHD
Provider Business Mailing Address
First Line : 1941 EAST ROAD
Second Line : DEPARTMENT OF PSYCHIATRY
City : HOUSTON
State : TX
Zip : 77054-1461
Country : US
Telephone Number : 843-364-1667
Fax Number :
Provider Business Practice Location Address
First Line : 1941 EAST RD
Second Line :
City : HOUSTON
State : TX
Zip : 77054-6010
Country : US
Telephone Number : 713-486-2700
Fax Number : 713-486-2721
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 12/27/2022

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Directions to “ RONALD E ACIERNO PHD” Practice Location

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