Provider Demographics
NPI:1821180597
Name:WOZNIAK, S.J., RONALD E (MED, LMHC, CCMHC)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:E
Last Name:WOZNIAK, S.J.
Suffix:
Gender:M
Credentials:MED, LMHC, CCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:MA
Mailing Address - Zip Code:02493-1310
Mailing Address - Country:US
Mailing Address - Phone:781-788-4722
Mailing Address - Fax:781-894-5864
Practice Address - Street 1:319 CONCORD RD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:MA
Practice Address - Zip Code:02493-1310
Practice Address - Country:US
Practice Address - Phone:781-788-4790
Practice Address - Fax:781-894-5864
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA74101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional