| Doctor Name: | ALYCE RUTH |
| NPI Number: | 1033519293 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSW |
| License Number: | 44SL05748000 |
| Business Practice Address: | 540 Route 22 Bridgewater, NJ - 088072405 |
| Business Phone Number: | 9087221881 |
| Business Fax Number: | 9087040215 |
| Mailing Address: | 540 Route 22, BRIDGEWATER |
| State: | NJ |
| Postal Code: | 088072405 |
| Phone Number: | 9087221881 |
| Fax Number: | 9087040215 |
| NPI Enumeration Date: | 08/25/2014 |
| NPI Last Update Date: | 08/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 44SL05748000 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |