MEDICARE: DR. RONALD V KIDD PH.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
1	103T00000X	Psychologist	21133	TX
2	103TC0700X	Clinical Psychologist	0810003230	VA

General Provider Information

NPI Number	:	1962471391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD V KIDD PH.D.

Provider Business Mailing Address
First Line	:	3987 E PROVIDENCE RD
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-2784
Country	:	US
Telephone Number	:	757-873-1736
Fax Number	:	757-873-1028

Provider Business Practice Location Address
First Line	:	1318 JAMESTOWN RD STE 101
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-3382
Country	:	US
Telephone Number	:	757-645-4715
Fax Number	:	757-645-4720

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	02/21/2019

Similar Medicare Providers

1306795414 — VERITA PSYCHIATRY LLC
Practice Location Address:

1318 JAMESTOWN RD STE 102
WILLIAMSBURG, VA
23185-3382

Practice Phone: 571-839-4846
Practice Fax:

1063407435 — WADE QUINN D.C.
Practice Location Address:

1318 JAMESTOWN RD , SUITE 102
WILLIAMSBURG, VA
23185-3382

Practice Phone: 757-253-1900
Practice Fax: 757-253-2900

1831205137 — INTEGRATIVE MEDICINE CENTER, PLLC
Practice Location Address:

1318 JAMESTOWN RD , SUITE 102
WILLIAMSBURG, VA
23185-3382

Practice Phone: 757-253-1900
Practice Fax: 757-253-2900

1811093925 — MS. CONSTANCE THAYER CORY LMFT
Practice Location Address:

1318 JAMESTOWN RD , SUITE 101
WILLIAMSBURG, VA
23185-3382

Practice Phone: 757-229-7927
Practice Fax: 757-253-8891

1255437372 — MS. DONNA K. GRISET LPC
Practice Location Address:

1318 JAMESTOWN RD , SUITE 101
WILLIAMSBURG, VA
23185-3382

Practice Phone: 757-229-7927
Practice Fax: 757-253-8891

1417054172 — JO-ANN WAGNER LCSW
Practice Location Address:

1318 JAMESTOWN RD , SUITE 101
WILLIAMSBURG, VA
23185-3382

Practice Phone: 757-229-7927
Practice Fax: 757-253-8891

Directions to “ DR. RONALD V KIDD PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.