Provider Demographics
NPI:1942320908
Name:COLONNA, RONALD A (CLINICAL COUNSELOR)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:A
Last Name:COLONNA
Suffix:
Gender:M
Credentials:CLINICAL COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3982 PRINCETON BLVD
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-2362
Mailing Address - Country:US
Mailing Address - Phone:216-291-5674
Mailing Address - Fax:
Practice Address - Street 1:3982 PRINCETON BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44121-2362
Practice Address - Country:US
Practice Address - Phone:216-291-5674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE401101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA