Alysa Ann Ruddell in Federal Way - Clinical
Alysa Ann Ruddell - NPI 1841385374
Alysa Ann Ruddell is a Clinical in Federal Way, Washington. Alysa Ann Ruddell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alysa Ann Ruddell is 1841385374. The last update date is 2007-07-08.
Alysa Ann Ruddell's current location address is 801 South 336 St., Federal Way, Washington. You can contact this provider via phone number 2538745319 and fax number 2538385586. The mailing address for Alysa Ann Ruddell is 801 South 336 St., Federal Way, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alysa Ann Ruddell |
|---|---|
| Address | 801 South 336 St., Federal Way, Washington |
| Phone Number | 2538745319 |
| Fax Number | 2538385586 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1841385374 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 801 South 336 St. |
|---|---|
| City | Federal Way |
| State | Washington (WA) |
| Post Code | 980036310 |
| Phone Number | 2538745319 |
| Fax Number | 2538385586 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY1268 |
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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 |
|---|---|---|---|
| 33375 | WA | TRIWEST/CHAMPUS | |
| 7070121 | WA | -- | |
| 947416 | WA | WASHINGTON STATE PROVIDER | |
| RU7443 | WA | BLUE CROSS/BLUE SHIELD | |
| 11597 | WA | CRIME VICTIM'S FUND |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Alysa Ann Ruddell by the Centers for Medicare & Medicaid Services?
The Alysa Ann Ruddell has been assigned the NPI (National Provider Identifier) 1841385374 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Alysa Ann Ruddell is physically located?
The Alysa Ann Ruddell is situated at the following address: 801 South 336 St., Federal Way, WA 980036310.
What is Alysa Ann Ruddell's specialized field of practice, and what is the corresponding taxonomy classification code?
The Alysa Ann Ruddell's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1841385374 to Alysa Ann Ruddell?
The Alysa Ann Ruddell received its 1841385374 assignment from the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date were the details related to Alysa Ann Ruddell most recently updated or revised?
The information pertaining to Alysa Ann Ruddell, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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