Provider Demographics
NPI:1326205188
Name:MAGNETTI, RONALD J (LMFT)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:J
Last Name:MAGNETTI
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19978 SCRIMSHAW WAY
Mailing Address - Street 2:
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469-2254
Mailing Address - Country:US
Mailing Address - Phone:561-329-3469
Mailing Address - Fax:
Practice Address - Street 1:19978 SCRIMSHAW WAY
Practice Address - Street 2:
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469-2254
Practice Address - Country:US
Practice Address - Phone:561-329-3469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 2103106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist