Individual
RONALD WOODROW BRILL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
800 EUCLID AVE, BRISTOL, VA 24201-3916
(276) 591-1122
(276) 591-1150
Mailing address
800 EUCLID AVE, BRISTOL, VA 24201-3916
(276) 591-1122
(276) 591-1150
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002356
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007727
VALUE OPTIONS
—
01
—
056271
ANTHEM
—
01
—
4037975
BC BS TN
—
01
—
87726
UNITED BEHAVIORAL HEALTH
—
Enumeration date
11/30/2006
Last updated
09/11/2007
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