| Ruth Wittersgreen Plc | |
|
828 N Augusta St Staunton VA 24401-3211 | |
| (540) 887-6538 | |
| (202) 333-2525 |
| Full Name | Ruth Wittersgreen Plc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 828 N Augusta St, Staunton, Virginia |
| Authorized Official Name and Position | Ruth Wittersgreen (OWNER) |
| Authorized Official Contact | 5408876538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruth Wittersgreen Plc 202 Hendren Ave Staunton VA 24401-2847 Ph: (540) 887-6538 | Ruth Wittersgreen Plc 828 N Augusta St Staunton VA 24401-3211 Ph: (540) 887-6538 |
| NPI Number | 1699009613 |
|---|---|
| Provider Enumeration Date | 09/23/2009 |
| Last Update Date | 09/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699009613 | NPI | - | NPPES |
| 374723 | Other | VA | ANTHEM |
| 1255383618 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810003439 (Virginia) | Primary |
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Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Howardsville Rd, Staunton, VA 24401 Phone: 540-248-5510 Fax: 540-248-5509 | |
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