Individual
RON W. COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
200 N LEWIS ST, LAGRANGE, GA 30240-2738
(706) 594-6073
(706) 608-9028
Mailing address
PO BOX 800277, LAGRANGE, GA 30240-0005
(706) 594-6073
(706) 608-9028
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1539
GA
103TC0700X
Clinical Psychologist
PSY001539
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000460215H
—
GA
05
—
00460215A
—
GA
Enumeration date
04/26/2006
Last updated
09/03/2019
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