| C. Allen Ruyle, Lcsw | |
|
1090 University Ave Loft 202b San Diego CA 92103-7307 | |
| (619) 822-1660 | |
| (866) 302-7589 |
| Full Name | C. Allen Ruyle, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1090 University Ave, San Diego, California |
| Authorized Official Name and Position | C. Allen Ruyle (SOLE PRACTITIONER) |
| Authorized Official Contact | 6192133000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C. Allen Ruyle, Lcsw 1090 University Ave Loft 202b San Diego CA 92103-7307 Ph: (619) 822-1660 | C. Allen Ruyle, Lcsw 1090 University Ave Loft 202b San Diego CA 92103-7307 Ph: (619) 822-1660 |
| NPI Number | 1083991996 |
|---|---|
| Provider Enumeration Date | 11/05/2011 |
| Last Update Date | 05/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083991996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS26809 (California) | Primary |
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