Basic Information
| Provider Information | |||||||||
| NPI: | 1770621914 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DAWE | ||||||||
| FirstName: | RONALD | ||||||||
| MiddleName: | JOSEPH | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3740 LIGHTHOUSE DR | ||||||||
| Address2: | |||||||||
| City: | PALM BEACH GARDENS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334105659 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5616222006 | ||||||||
| FaxNumber: | 5616222006 | ||||||||
| Practice Location | |||||||||
| Address1: | 1017 N OLIVE AVE | ||||||||
| Address2: | |||||||||
| City: | WEST PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334013511 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5618337553 | ||||||||
| FaxNumber: | 5616555327 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/01/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | MH 8369 | FL | X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 101YM0800X | MH 8369 | FL | X | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.