Provider Demographics
NPI:1013153931
Name:RONALD L SEIFER PH D PA
Entity Type:Organization
Organization Name:RONALD L SEIFER PH D PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PORESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:SEIFER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:561-699-7455
Mailing Address - Street 1:7300 W CAMINO REAL
Mailing Address - Street 2:SUITE 230
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-5512
Mailing Address - Country:US
Mailing Address - Phone:561-699-7455
Mailing Address - Fax:954-340-3407
Practice Address - Street 1:7300 W CAMINO REAL
Practice Address - Street 2:SUITE 230
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-5512
Practice Address - Country:US
Practice Address - Phone:561-699-7455
Practice Address - Fax:954-340-3407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-23
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0002585103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty