Individual
RONALD J DENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
335 ALLUMBAUGH ST, BOISE, ID 83704-9208
(208) 376-1611
(208) 658-1753
Mailing address
PO BOX 4883, BOISE, ID 83711-4883
(208) 376-1611
(208) 658-1753
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-160
ID
106H00000X
Marriage & Family Therapist
PSY-160
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010160921
REGENCE BLUE SHIELD
ID
01
—
N6309
BLUE CROSS
ID
Enumeration date
04/25/2007
Last updated
05/09/2008
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