Provider Demographics
NPI:1326294307
Name:LOFTIS, RONALD DALE (MFT)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:DALE
Last Name:LOFTIS
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1261 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89512-2903
Mailing Address - Country:US
Mailing Address - Phone:775-322-8900
Mailing Address - Fax:775-322-8906
Practice Address - Street 1:1261 E 9TH ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89512-2903
Practice Address - Country:US
Practice Address - Phone:775-322-8900
Practice Address - Fax:775-322-8906
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-11
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0592106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist