Provider Demographics
NPI:1467577247
Name:TOWER, RONI BETH (PHD)
Entity Type:Individual
Prefix:MRS
First Name:RONI
Middle Name:BETH
Last Name:TOWER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 WYLDWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5057
Mailing Address - Country:US
Mailing Address - Phone:914-366-6644
Mailing Address - Fax:914-366-4446
Practice Address - Street 1:25 WYLDWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5057
Practice Address - Country:US
Practice Address - Phone:914-366-6644
Practice Address - Fax:914-366-4446
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0155921103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical