Provider Demographics
NPI:1912174178
Name:REECE, RONALD C (PHD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:C
Last Name:REECE
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 1:800 E WASHINGTON ST STE C
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-3054
Mailing Address - Country:US
Mailing Address - Phone:864-233-6648
Mailing Address - Fax:864-233-3706
Practice Address - Street 1:800 E WASHINGTON ST STE C
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-3054
Practice Address - Country:US
Practice Address - Phone:864-233-6648
Practice Address - Fax:864-233-3706
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC205103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical