Doctor Name: | MRS. RUTH ANN VANDENTOP |
NPI Number: | 1184852873 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 001149 |
Business Practice Address: | 117 N Buxton St Indianola, IA - 501252412 |
Business Phone Number: | 5159625561 |
Business Fax Number: | |
Mailing Address: | 920 N Grand St, CHARITON |
State: | IA |
Postal Code: | 500491232 |
Phone Number: | 6417743489 |
Fax Number: | |
NPI Enumeration Date: | 07/01/2009 |
NPI Last Update Date: | 02/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001149 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |