Provider Demographics
NPI:1215751771
Name:PSYCHOLOGICAL FITNESS, LLC
Entity type:Organization
Organization Name:PSYCHOLOGICAL FITNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEW
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:314-827-4126
Mailing Address - Street 1:1656 N BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62234-7325
Mailing Address - Country:US
Mailing Address - Phone:314-827-4126
Mailing Address - Fax:
Practice Address - Street 1:1656 N BLUFF RD
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:IL
Practice Address - Zip Code:62234-7325
Practice Address - Country:US
Practice Address - Phone:314-827-4126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty