Provider Demographics
NPI:1033400502
Name:QUICK, RONALD DEAN JR (MT-BC)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:DEAN
Last Name:QUICK
Suffix:JR
Gender:M
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 GOODSON RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-9498
Mailing Address - Country:US
Mailing Address - Phone:910-995-2775
Mailing Address - Fax:
Practice Address - Street 1:1340 GOODSON RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-9498
Practice Address - Country:US
Practice Address - Phone:910-995-2775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist