Individual
DR. RONALD DEAN DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
407 N COAST HWY, SUITE 100-A, NEWPORT, OR 97365-3115
(541) 272-5066
(541) 272-5067
Mailing address
407 N COAST HWY, SUITE 100A, NEWPORT, OR 97365-3115
(541) 272-5006
(541) 272-5067
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
426
OR
103TC0700X
Clinical Psychologist
Primary
426
OR
103TF0200X
Forensic Psychologist
426
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092481
—
OR
Enumeration date
01/18/2006
Last updated
07/18/2014
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