| Dr Ruthie Norman Licsw Llc | |
|
1029 North Rd Westfield MA 01085 | |
| (413) 433-0332 | |
| Not Available |
| Full Name | Dr Ruthie Norman Licsw Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1029 North Rd, Westfield, Massachusetts |
| Authorized Official Name and Position | Ruth Norman (SELF) |
| Authorized Official Contact | 4134330332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ruthie Norman Licsw Llc 115 Quartus St Chicopee MA 01013-4015 Ph: (413) 433-0332 | Dr Ruthie Norman Licsw Llc 1029 North Rd Westfield MA 01085 Ph: (413) 433-0332 |
| NPI Number | 1609352988 |
|---|---|
| Provider Enumeration Date | 07/19/2018 |
| Last Update Date | 08/29/2018 |
| Medicare PECOS PAC ID | 2163774720 |
|---|---|
| Medicare Enrollment ID | O20181009001921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609352988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Massachusetts) | Primary |
| Provider Name | Ruth A Norman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588956767 PECOS PAC ID: 1951653518 Enrollment ID: I20181009002400 |
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