Provider Demographics
NPI:1336331198
Name:HAYES, RONALD WOOD (LPC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:WOOD
Last Name:HAYES
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 S PENNINGTON RD
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-1623
Mailing Address - Country:US
Mailing Address - Phone:732-249-9314
Mailing Address - Fax:732-249-9390
Practice Address - Street 1:45 S PENNINGTON RD
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1623
Practice Address - Country:US
Practice Address - Phone:732-249-9314
Practice Address - Fax:732-249-9390
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00298300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional