Angela M. Carruth in Miamisburg - Clinical
Angela M. Carruth - NPI 1619061371
Angela M. Carruth is a Clinical in Miamisburg, Ohio. Angela M. Carruth practices all healthcare services and medical treatments related to Clinical. The NPI Number for Angela M. Carruth is 1619061371. The last update date is 2020-11-24.
Angela M. Carruth's current location address is 2110 Leiter Rd, Miamisburg, Ohio. You can contact this provider via phone number 9379147054 and fax number 9375227685. The mailing address for Angela M. Carruth is 2110 Leiter Rd, Miamisburg, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela M. Carruth |
|---|---|
| Address | 2110 Leiter Rd, Miamisburg, Ohio |
| Phone Number | 9379147054 |
| Fax Number | 9375227685 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1619061371 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2020-11-24 |
Provider Mailing Address Detail
| Address | 2110 Leiter Rd |
|---|---|
| City | Miamisburg |
| State | Ohio (OH) |
| Post Code | 453423660 |
| Phone Number | 9379147054 |
| Fax Number | 9375227685 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 5483 |
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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 |
|---|---|---|---|
| 2859536 | OH | -- |
Post Comment/ Review Below
What is the Angela M. Carruth's 1619061371?
The Angela M. Carruth's NPI (National Provider Identifier) Number is 1619061371. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Angela M. Carruth's facilities are situated?
The facilities of Angela M. Carruth are physically located at the following address: 2110 Leiter Rd, Miamisburg, OH, 453423660.
What is the Angela M. Carruth's area of specialization and corresponding taxonomy classification?
The Angela M. Carruth's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1619061371 to Angela M. Carruth?
The Angela M. Carruth received its 1619061371 assignment from the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date were the details pertaining to Angela M. Carruth last refreshed?
The information related to the Angela M. Carruth, including its address, specialty, and other relevant details, was last updated on 2020-11-24.