# MR. RON S REDICK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528110517
- **Gender:** Man
- **Credential:** MS LMLP CCP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | LCP | KS | Yes |
| 103TC0700X | Clinical Psychologist | LMLP | KS | — |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 09/11/2025