| Doctor Name: | KIMBERLY SUE RUTH |
| NPI Number: | 1598855884 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS,CAC,LPC |
| License Number: | PC001402 |
| Business Practice Address: | 341 Story Rd Export, PA - 156322666 |
| Business Phone Number: | 7244683999 |
| Business Fax Number: | 7244680039 |
| Mailing Address: | 155 Skyline Dr, CALIFORNIA |
| State: | PA |
| Postal Code: | 154191276 |
| Phone Number: | 7249382783 |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC001402 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |