| Ruth M Rattenbury Psy D Pc | |
|
600 Davis St Suite 3e Evanston IL 60201-4488 | |
| (847) 644-3284 | |
| (847) 328-4838 |
| Full Name | Ruth M Rattenbury Psy D Pc |
|---|---|
| Speciality | Psychologist |
| Location | 600 Davis St, Evanston, Illinois |
| Authorized Official Name and Position | Ruth M Rattenbury (PRESIDENT CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8476443284 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruth M Rattenbury Psy D Pc 600 Davis St Suite 3e Evanston IL 60201-4488 Ph: (847) 644-3284 | Ruth M Rattenbury Psy D Pc 600 Davis St Suite 3e Evanston IL 60201-4488 Ph: (847) 644-3284 |
| NPI Number | 1790868586 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9830296854 |
|---|---|
| Medicare Enrollment ID | O20070525000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790868586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
| Provider Name | Ruth M Rattenbury |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609910264 PECOS PAC ID: 3476650490 Enrollment ID: I20070525000131 |
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