Provider Demographics
NPI:1740305382
Name:ARTIS, RONALD JAY (RON ARTIS, PHD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:JAY
Last Name:ARTIS
Suffix:
Gender:M
Credentials:RON ARTIS, PHD
Other - Prefix:DR
Other - First Name:RON
Other - Middle Name:
Other - Last Name:ARTIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LPC,LMFT
Mailing Address - Street 1:8502 DOROTHA CT
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8111
Mailing Address - Country:US
Mailing Address - Phone:512-795-9132
Mailing Address - Fax:
Practice Address - Street 1:4601 SPICEWOOD SPRINGS RD
Practice Address - Street 2:BLDG.4, STE.200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8598
Practice Address - Country:US
Practice Address - Phone:512-467-1376
Practice Address - Fax:512-467-8658
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10682101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional