Individual
DR. RONALD DALE FANDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3815 W SAINT JOSEPH ST STE A400, LANSING, MI 48917-5600
(517) 323-4531
(517) 323-4531
Mailing address
333 STOLL RD, LANSING, MI 48917-3418
(517) 290-6228
(517) 323-4531
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008822
MI
Other
Enumeration date
12/01/2006
Last updated
06/18/2010
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