Doctor Name: | RUTH A SPINNER |
NPI Number: | 1235265729 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | 465 |
Business Practice Address: | 3050 5th Ave Ketchikan, AK - 999015773 |
Business Phone Number: | 9072254135 |
Business Fax Number: | |
Mailing Address: | 1200 Woodside Dr Apt A3, KETCHIKAN |
State: | AK |
Postal Code: | 999016239 |
Phone Number: | 9072253620 |
Fax Number: | |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 465 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |