Provider Demographics
NPI:1609836626
Name:HOOD, RON ROY (LIC PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:RON
Middle Name:ROY
Last Name:HOOD
Suffix:
Gender:M
Credentials:LIC PSYCHOLOGIST
Other - Prefix:
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Mailing Address - Street 1:805 STATE FARM RD
Mailing Address - Street 2:SUITE B3
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-4914
Mailing Address - Country:US
Mailing Address - Phone:828-264-4323
Mailing Address - Fax:828-264-4399
Practice Address - Street 1:805 STATE FARM RD
Practice Address - Street 2:SUITE B3
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4914
Practice Address - Country:US
Practice Address - Phone:828-264-4323
Practice Address - Fax:828-264-4399
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC1751103TC0700X
NC634101YA0400X
NC032106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6000729Medicaid
NC2046942OtherCIGNA BEHAVIORAL HEALTH
NC2071915OtherVALUE OPTIONS
NC0405ROtherBCBS OF NC
NC510230509OtherUNITED BEHAVIORAL HEALTH
NC84356OtherMEDCOST
NC160604000OtherMAGELLAN
NC6000729Medicaid