Provider Demographics
NPI:1396891818
Name:KLEIN, RONALD M (PHD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:M
Last Name:KLEIN
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 1:601 W MAIN AVE
Mailing Address - Street 2:SUITE 1011
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0636
Mailing Address - Country:US
Mailing Address - Phone:509-838-1285
Mailing Address - Fax:509-344-1011
Practice Address - Street 1:601 W MAIN AVE
Practice Address - Street 2:SUITE 1011
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0636
Practice Address - Country:US
Practice Address - Phone:509-838-1285
Practice Address - Fax:509-344-1011
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPSY 636103G00000X, 103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Not Answered103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service