Doctor Name: | ESTHER RUPP |
NPI Number: | 1558763763 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | OH3107936 |
Business Practice Address: | 306 Stryker St Archbold, OH - 435023100 |
Business Phone Number: | 4194462726 |
Business Fax Number: | |
Mailing Address: | 22396 State Route 2, STRYKER |
State: | OH |
Postal Code: | 435579426 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/18/2014 |
NPI Last Update Date: | 09/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | OH3107936 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |