Provider Demographics
NPI:1093875379
Name:TURNER, RALPH J (PHD)
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:J
Last Name:TURNER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:RJ
Other - Middle Name:
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:17655 HENDERSON PASS
Mailing Address - Street 2:#833
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232
Mailing Address - Country:US
Mailing Address - Phone:210-439-5478
Mailing Address - Fax:775-687-7544
Practice Address - Street 1:17655 HENDERSON PASS
Practice Address - Street 2:#833
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232
Practice Address - Country:US
Practice Address - Phone:210-439-5478
Practice Address - Fax:702-346-7699
Is Sole Proprietor?:No
Enumeration Date:2006-12-09
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0398103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV34869Medicare PIN