Ronald Alfred Ivison ED.D

NPI 1063532133 - Psychologist - 103T00000X

NPI Details
NPI 1063532133
Gender Male
Enumeration Date 03/30/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
200 W SPRING ST
BOYERTOWN PA, 19512-1052, US
Phone (610) 367-6957
Fax
Business Location
3625 STONER AVE
READING PA, 19606-2337, US
Phone (610) 779-7654
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Pennsylvania
License Number PS001927L
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According to our database, Dr. Ronald Alfred Ivison ED.D NPI is 1063532133, taxonomy code is 103T00000X and license number is PS001927L, license state is located at Pennsylvania. Ronald Alfred Ivison ED.D physically located at 200 W Spring St, Boyertown PA, 19512-1052. NPI Number Ronald Alfred Ivison ED.D has the Individual type.

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1063532133 NPI number is provided on an as is basis without warranty of any kind. 1063532133 is maintained by the National Plan & Provider Enumeration System. The contents of Ronald Alfred Ivison ED.D are for informational purposes only.