Provider Demographics
NPI:1649303132
Name:YEO, RONALD A (PHD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:A
Last Name:YEO
Suffix:
Gender:M
Credentials:PHD
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Other - First Name:
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Mailing Address - Street 1:2201 SAN PEDRO DR NE
Mailing Address - Street 2:BUILDING 1, SUITE 215
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-4133
Mailing Address - Country:US
Mailing Address - Phone:505-889-0426
Mailing Address - Fax:505-883-7304
Practice Address - Street 1:2201 SAN PEDRO DR NE
Practice Address - Street 2:BUILDING 1, SUITE 215
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-4133
Practice Address - Country:US
Practice Address - Phone:505-889-0426
Practice Address - Fax:505-883-7304
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM335103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM201011047OtherPRESBYTERIAN HEALTH PLAN