Provider Demographics
NPI:1952642217
Name:DINGLE, RONALD LEROI JR (LPCA & LCAS-A)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:LEROI
Last Name:DINGLE
Suffix:JR
Gender:M
Credentials:LPCA & LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 W MEADOWVIEW RD STE 114
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-3408
Mailing Address - Country:US
Mailing Address - Phone:336-855-4649
Mailing Address - Fax:336-855-4645
Practice Address - Street 1:2211 W MEADOWVIEW RD STE 114
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-3408
Practice Address - Country:US
Practice Address - Phone:336-855-4649
Practice Address - Fax:336-855-4645
Is Sole Proprietor?:No
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA8784101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health