Provider Demographics
NPI:1447615828
Name:NEUFELD, RON (PC)
Entity Type:Individual
Prefix:
First Name:RON
Middle Name:
Last Name:NEUFELD
Suffix:
Gender:M
Credentials:PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 E OAK ST
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-2406
Mailing Address - Country:US
Mailing Address - Phone:419-409-0439
Mailing Address - Fax:419-352-5039
Practice Address - Street 1:127 E OAK ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-2406
Practice Address - Country:US
Practice Address - Phone:419-409-0439
Practice Address - Fax:419-352-5039
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-29
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0005968101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional