Provider Demographics
NPI:1780648204
Name:STRIANO, RONALD C (PHD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:C
Last Name:STRIANO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 413
Mailing Address - Street 2:
Mailing Address - City:SCIOTA
Mailing Address - State:PA
Mailing Address - Zip Code:18354-0413
Mailing Address - Country:US
Mailing Address - Phone:973-886-7453
Mailing Address - Fax:570-402-1144
Practice Address - Street 1:3 MUIRFIELD LANE
Practice Address - Street 2:
Practice Address - City:MENDHAM
Practice Address - State:NJ
Practice Address - Zip Code:07945-1234
Practice Address - Country:US
Practice Address - Phone:973-886-7453
Practice Address - Fax:570-402-1144
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-13
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100285000103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5007003Medicaid
NJ5007003Medicaid
NJ697942Medicare ID - Type Unspecified