| Emily Barr Ruth, Psyd, Llc | |
|
702 N Blackhawk Ave Suite 209 Madison WI 53705-3357 | |
| (608) 669-7981 | |
| (608) 441-3370 |
| Full Name | Emily Barr Ruth, Psyd, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 702 N Blackhawk Ave, Madison, Wisconsin |
| Authorized Official Name and Position | Emily Barr Ruth (OWNER/MEMBER) |
| Authorized Official Contact | 6086697981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Barr Ruth, Psyd, Llc 702 N Blackhawk Ave Suite 209 Madison WI 53705-3357 Ph: (608) 669-7981 | Emily Barr Ruth, Psyd, Llc 702 N Blackhawk Ave Suite 209 Madison WI 53705-3357 Ph: (608) 669-7981 |
| NPI Number | 1487091658 |
|---|---|
| Provider Enumeration Date | 05/29/2013 |
| Last Update Date | 05/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487091658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2804-57 (Wisconsin) | Primary |
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