Individual
RONALD J DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
932 NATIONAL HWY STE 4, LAVALE, MD 21502-7380
(717) 808-8400
(717) 781-2078
Mailing address
PO BOX 92, MILLERSVILLE, PA 17551-0092
(717) 872-0568
(717) 872-8134
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017397
PA
103TF0200X
Forensic Psychologist
PS017397
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649675992
GROUP NPI
—
Enumeration date
09/16/2013
Last updated
08/03/2022
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