Doctor Name: | DR. RUTH R MOLIN |
NPI Number: | 1023006251 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 4865 |
Business Practice Address: | 599 North Ave Door 6 Wakefield, MA - 018801622 |
Business Phone Number: | 7812459352 |
Business Fax Number: | 7812459350 |
Mailing Address: | 12 Sweetwater St, SAUGUS |
State: | MA |
Postal Code: | 019064075 |
Phone Number: | 7812310359 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4865 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |