Provider Demographics
NPI:1306975313
Name:HAIMOWITZ, RONALD (PHD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:HAIMOWITZ
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 1:531 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-3236
Mailing Address - Country:US
Mailing Address - Phone:707-255-8540
Mailing Address - Fax:707-251-8540
Practice Address - Street 1:531 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-3236
Practice Address - Country:US
Practice Address - Phone:707-255-8540
Practice Address - Fax:707-251-8540
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7930103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical