Organization Name: | RUTH WEBB PSYD LLC |
NPI Number: | 1710220603 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUTH HELEN WEBB (LICENSED PSYCHOLOGIST) |
Mailing Address: | 14225 University Ave Suite 114a Waukee |
State: | IA US |
Postal Code: | 502638294 |
Phone Number: | 5153719783 |
Fax Number: | 5152256680 |
NPI Enumeration Date: | 03/29/2013 |
NPI Last Update Date: | 03/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 001197 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |