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Organization

RONALD G. RICKNER, PH.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD G. RICKNER PH.D. (PSYCHOLOGIST)
(850) 668-0482
Entity
Organization

Contact information

Practice address
1535 KILLEARN CENTER BLVD, SUITE C-2, TALLAHASSEE, FL 32309-3467
(850) 668-0482
(850) 894-9957
Mailing address
1535 KILLEARN CENTER BLVD, SUITE C-2, TALLAHASSEE, FL 32309-3467
(850) 668-0482
(850) 894-9957

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0005144
FL

Other

Enumeration date
05/19/2014
Last updated
05/19/2014
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