Provider Demographics
NPI:1669482113
Name:RONALD L KLINGER PH.D. PC
Entity Type:Organization
Organization Name:RONALD L KLINGER PH.D. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:KLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:512-258-1259
Mailing Address - Street 1:13740 N HIGHWAY 183
Mailing Address - Street 2:B-4
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1884
Mailing Address - Country:US
Mailing Address - Phone:512-258-1259
Mailing Address - Fax:512-258-2591
Practice Address - Street 1:13740 N HIGHWAY 183
Practice Address - Street 2:B-4
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1884
Practice Address - Country:US
Practice Address - Phone:512-258-1259
Practice Address - Fax:512-258-2591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22741101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty