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NPI Code Detail

MEDICARE: DR. RONALD GERALD DALRYMPLE P.H.D

MEDICARE:  DR. RONALD GERALD DALRYMPLE  P.H.D
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
1103T00000XPsychologist3006CO
2103T00000XPsychologistPY0006631FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
173032OTHERFLBCBS

General Provider Information

NPI Number : 1629062112
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD GERALD DALRYMPLE P.H.D
Provider Business Mailing Address
First Line : PO BOX 4466
Second Line :
City : FORT MYERS
State : FL
Zip : 33918-4466
Country : US
Telephone Number : 239-887-8999
Fax Number :
Provider Business Practice Location Address
First Line : 13180 N CLEVELAND AVE STE 312
Second Line :
City : N FORT MYERS
State : FL
Zip : 33903-6231
Country : US
Telephone Number : 239-887-8999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 08/21/2025

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Directions to “ DR. RONALD GERALD DALRYMPLE P.H.D” Practice Location

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