Doctor Name: | MS. RUTH ANNE VANIDERSTINE |
NPI Number: | 1972631422 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 109 Parmac Rd., Ste. 1 Chico, CA - 95926 |
Business Phone Number: | 5308912986 |
Business Fax Number: | 5308956548 |
Mailing Address: | P.o. Box 3695, CHICO |
State: | CA |
Postal Code: | 959273695 |
Phone Number: | 5308959223 |
Fax Number: | 5308956548 |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |