Gloria D Rutt Psyd Pc in Cheyenne - Clinical
Gloria D Rutt Psyd Pc - NPI 1063504611
Gloria D Rutt Psyd Pc is a Clinical in Cheyenne, . Gloria D Rutt Psyd Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gloria D Rutt Psyd Pc is 1063504611. The last update date is 2008-09-11.
Gloria D Rutt Psyd Pc's current location address is 2305 Coulter Drive, Cheyenne, . You can contact this provider via phone number 3072864106 and fax number 3076326588. The mailing address for Gloria D Rutt Psyd Pc is 2305 Coulter Drive, Cheyenne, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gloria D Rutt Psyd Pc |
|---|---|
| Address | 2305 Coulter Drive, Cheyenne, |
| Phone Number | 3072864106 |
| Fax Number | 3076326588 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Rutt Diane Gloria |
| Credentials | PSYD |
| Telephone Number | 3072864106 |
NPI Number Detail
| NPI Number | 1063504611 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2008-09-11 |
Provider Mailing Address Detail
| Address | 2305 Coulter Drive |
|---|---|
| City | Cheyenne |
| State | (WY) |
| Post Code | 82009 |
| Phone Number | 3072864106 |
| Fax Number | 3076326588 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 422 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 123535400 | WY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gloria D Rutt Psyd Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Gloria D Rutt Psyd Pc has been assigned the NPI (National Provider Identifier) 1063504611. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Gloria D Rutt Psyd Pc is located?
The Gloria D Rutt Psyd Pc is situated at the following address: 2305 Coulter Drive, Cheyenne, WY, 82009.
What is the area of specialization for Gloria D Rutt Psyd Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gloria D Rutt Psyd Pc is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063504611 to Gloria D Rutt Psyd Pc?
The Centers for Medicare & Medicaid Services originally issued the 1063504611 to Gloria D Rutt Psyd Pc on 2006-09-29.
As of what date were the details pertaining to Gloria D Rutt Psyd Pc last refreshed?
The information related to the Gloria D Rutt Psyd Pc, including its address, specialty, and other relevant details, was last updated on 2008-09-11.