Provider Demographics
NPI:1336210434
Name:HEYMAN, RONALD (MA)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:HEYMAN
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:552 N NEVILLE ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2855
Mailing Address - Country:US
Mailing Address - Phone:412-682-5531
Mailing Address - Fax:412-682-5587
Practice Address - Street 1:552 N NEVILLE ST
Practice Address - Street 2:SUITE A
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2855
Practice Address - Country:US
Practice Address - Phone:412-682-5531
Practice Address - Fax:412-682-5587
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-11
Last Update Date:2016-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003722-L103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist