Provider Demographics
NPI:1710598263
Name:DELGADO, RAMON JR (MS SCHOOL PSYCHOLOGY)
Entity Type:Individual
Prefix:MR
First Name:RAMON
Middle Name:
Last Name:DELGADO
Suffix:JR
Gender:M
Credentials:MS SCHOOL PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10376 NW 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1702
Mailing Address - Country:US
Mailing Address - Phone:718-552-7283
Mailing Address - Fax:
Practice Address - Street 1:10376 NW 3RD ST
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1702
Practice Address - Country:US
Practice Address - Phone:718-552-7283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-10
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1390021103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool