Provider Demographics
NPI:1154659464
Name:RONNING, DOREEN J (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DOREEN
Middle Name:J
Last Name:RONNING
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DOREEN
Other - Middle Name:J
Other - Last Name:RONNING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:904 W 23RD ST
Mailing Address - Street 2:STE 101 HEARTLAND PSYCHOLOGICAL SERVICES
Mailing Address - City:YANKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57078
Mailing Address - Country:US
Mailing Address - Phone:605-665-0841
Mailing Address - Fax:605-665-0096
Practice Address - Street 1:904 W 23RD ST
Practice Address - Street 2:STE 101 HEARTLAND PSYCHOLOGICAL SERVICES
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078
Practice Address - Country:US
Practice Address - Phone:605-665-0841
Practice Address - Fax:605-665-0096
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC828101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health