Provider Demographics
NPI:1346586203
Name:DELMORO, RONALD R (EDS, LMHC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:R
Last Name:DELMORO
Suffix:
Gender:M
Credentials:EDS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 NE 15TH PL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-4559
Mailing Address - Country:US
Mailing Address - Phone:352-283-0028
Mailing Address - Fax:
Practice Address - Street 1:1002 NE 15TH PL
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-4559
Practice Address - Country:US
Practice Address - Phone:352-283-0028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-21
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11497101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health