Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 011019 | NY |
Y | 103TC0700X | Clinical Psychologist | 011019 | NY |
N | 103G00000X | Clinical Psychologist | 011019 | NY |
N | 103TC0700X | Clinical Psychologist | 011019 | NY |
N | 103TH0004X | Health Psychologist | 011019 | NY |
N | 103TR0400X | Rehabilitation Psychologist | 011019 | NY |
NPI | 1760453955 |
---|---|
Provider Name | Dr. Ronald L Turner |
First Address | Rock Hill, NY 12775-0572 |
Second Address | Rock Hill, NY 12775-6721 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 14/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
011019 | NYS PSYCHOLOGY LICENSE (01) | NY |