Provider Demographics
NPI:1881867877
Name:SCHENBERG, RONALD G (PHD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:G
Last Name:SCHENBERG
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 1:818 US HIGHWAY 1
Mailing Address - Street 2:SUITE 5
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-3831
Mailing Address - Country:US
Mailing Address - Phone:561-776-2345
Mailing Address - Fax:
Practice Address - Street 1:818 US HIGHWAY 1
Practice Address - Street 2:SUITE 5
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-3831
Practice Address - Country:US
Practice Address - Phone:561-776-2345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY2574103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL74315Medicare PIN