Provider Demographics
NPI:1376877571
Name:HALPERIN-SHISGAL, RONNY (MSW)
Entity Type:Individual
Prefix:MRS
First Name:RONNY
Middle Name:
Last Name:HALPERIN-SHISGAL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:596 LAKE COVEN CT
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-2628
Mailing Address - Country:US
Mailing Address - Phone:321-377-0123
Mailing Address - Fax:
Practice Address - Street 1:596 LAKE COVEN CT
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2628
Practice Address - Country:US
Practice Address - Phone:321-377-0123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-22
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker