Provider Demographics
NPI:1689058331
Name:SATTERFIELD, RONALD LEE JR
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:LEE
Last Name:SATTERFIELD
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 COOMBS FARM DRIVE
Mailing Address - Street 2:BUILDING D UNIT 102
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508
Mailing Address - Country:US
Mailing Address - Phone:304-241-1766
Mailing Address - Fax:
Practice Address - Street 1:4000 COOMBS FARM RD
Practice Address - Street 2:BUILDING D UNIT 102
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-1124
Practice Address - Country:US
Practice Address - Phone:304-241-1766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-13
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVCP00939244101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health