Doctor Name: | MR. LEONARD H RUDER |
NPI Number: | 1114084993 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S.W. |
License Number: | PR015818-1 |
Business Practice Address: | 1 Porters Ln Westport, CT - 068801330 |
Business Phone Number: | 2032268229 |
Business Fax Number: | 2032217988 |
Mailing Address: | 1 Porters Ln, WESTPORT |
State: | CT |
Postal Code: | 068801330 |
Phone Number: | 2032268229 |
Fax Number: | 2032217988 |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | PR015818-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |