Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 1363 | NC |
Y | 103TC0700X | Clinical Psychologist | 1363 | NC |
N | 103G00000X | Clinical Psychologist | 1363 | NC |
N | 103TC0700X | Clinical Psychologist | 1363 | NC |
N | 103TF0200X | Forensic Psychologist | 1363 | NC |
N | 103TH0004X | Health Psychologist | 1363 | NC |
N | 103TR0400X | Rehabilitation Psychologist | 1636 | NC |
NPI | 1679543433 |
---|---|
Provider Name | Dr. Ronald David Franklin |
First Address | Candor, NC 27229-0246 |
Second Address | West End, NC 27376 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 11/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
HSP-P 1363 | PSYCHOLOGY LICENSE (01) | NC |