| Doctor Name: | MRS. RUTH ANN TEAGUE |
| NPI Number: | 1164519724 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC AND LMFT |
| License Number: | 04377 |
| Business Practice Address: | 5000 White Oak Lane Ft Worth, TX - 76114 |
| Business Phone Number: | 8172823323 |
| Business Fax Number: | 8172826128 |
| Mailing Address: | 5000 White Oak Lane, FT WORTH |
| State: | TX |
| Postal Code: | 76114 |
| Phone Number: | 8176250975 |
| Fax Number: | 8172826128 |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 04377 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |