Provider Demographics
NPI:1790803815
Name:RONALD J. REFICE PHDAND ASSOCIATES
Entity Type:Organization
Organization Name:RONALD J. REFICE PHDAND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLERICO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:570-383-2799
Mailing Address - Street 1:650 BOULEVARD AVE
Mailing Address - Street 2:
Mailing Address - City:DICKSON CITY
Mailing Address - State:PA
Mailing Address - Zip Code:18519-1710
Mailing Address - Country:US
Mailing Address - Phone:570-383-2799
Mailing Address - Fax:570-383-0063
Practice Address - Street 1:650 BOULEVARD AVE
Practice Address - Street 2:
Practice Address - City:DICKSON CITY
Practice Address - State:PA
Practice Address - Zip Code:18519-1710
Practice Address - Country:US
Practice Address - Phone:570-383-2799
Practice Address - Fax:570-383-0063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS001198L103TC0700X
PACW0121101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty