MEDICARE: DR. RONALD DALE RAMSEY LMFT

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
1	106H00000X	Marriage & Family Therapist	4101006571	MI

General Provider Information

NPI Number	:	1598121683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD DALE RAMSEY LMFT

Provider Business Mailing Address
First Line	:	1460 WALTON BLVD STE 224
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-1729
Country	:	US
Telephone Number	:	148-824-5276
Fax Number	:

Provider Business Practice Location Address
First Line	:	1460 WALTON BLVD STE 224
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-1729
Country	:	US
Telephone Number	:	148-824-5276
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2016
Last Update Date	:	01/06/2016

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