Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY001838 | GA |
Y | 103TC0700X | Clinical Psychologist | PSY001838 | GA |
N | 102L00000X | Psychologist | PSY001838 | GA |
N | 103T00000X | Psychologist | PSY001838 | GA |
N | 103TA0700X | Adult Development & Aging Psychologist | PSY001838 | GA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY001838 | GA |
N | 103G00000X | Clinical Psychologist | PSY001838 | GA |
N | 103TC0700X | Clinical Psychologist | PSY001838 | GA |
N | 103TC1900X | Counseling Psychologist | PSY001838 | GA |
N | 103TH0004X | Health Psychologist | PSY001838 | GA |
N | 103TH0100X | Health Service | PSY001838 | GA |
N | 103TP2701X | Group Psychotherapist | PSY001838 | GA |
N | 103TR0400X | Rehabilitation Psychologist | PSY001838 | GA |
NPI | 1598749160 |
---|---|
Provider Name | Dr. Ronald R. Hart |
First Address | Saint Simons Island, GA 31522-2506 |
Second Address | Saint Simons Island, GA 31522-2506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2005 |
Last Update Date | 06/09/2007 |