Provider Demographics
NPI:1831327832
Name:PALOMARES, RONALD STEVEN (PHD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:STEVEN
Last Name:PALOMARES
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 DEER MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5823
Mailing Address - Country:US
Mailing Address - Phone:301-963-5747
Mailing Address - Fax:301-977-5831
Practice Address - Street 1:301 DEER MEADOW LN
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-5823
Practice Address - Country:US
Practice Address - Phone:301-963-5747
Practice Address - Fax:301-977-5831
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-29
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24334103T00000X
TX31031103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool