Provider Demographics
NPI:1629280029
Name:SKWIERALSKI, RONALD WILLIAM (LMHC, MS)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:WILLIAM
Last Name:SKWIERALSKI
Suffix:
Gender:M
Credentials:LMHC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 RUTLEDGE DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-1406
Mailing Address - Country:US
Mailing Address - Phone:585-319-1910
Mailing Address - Fax:
Practice Address - Street 1:65 RUTLEDGE DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-1406
Practice Address - Country:US
Practice Address - Phone:585-319-1910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000909101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health