Provider Demographics
NPI:1265742217
Name:NEEPER, RONALD (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:NEEPER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 N SAINT CLAIR ST
Mailing Address - Street 2:
Mailing Address - City:LIGONIER
Mailing Address - State:PA
Mailing Address - Zip Code:15658-1338
Mailing Address - Country:US
Mailing Address - Phone:412-735-0523
Mailing Address - Fax:724-238-7490
Practice Address - Street 1:121 N SAINT CLAIR ST
Practice Address - Street 2:
Practice Address - City:LIGONIER
Practice Address - State:PA
Practice Address - Zip Code:15658-1338
Practice Address - Country:US
Practice Address - Phone:412-735-0523
Practice Address - Fax:724-238-7490
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-08
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD068245L2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry