Provider Demographics
NPI:1073635728
Name:MURRAY, RUTH L (LCMHC)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:L
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 MYRTLE ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-4354
Mailing Address - Country:US
Mailing Address - Phone:603-668-0014
Mailing Address - Fax:603-623-7676
Practice Address - Street 1:17 GILFORD AVE
Practice Address - Street 2:
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-2827
Practice Address - Country:US
Practice Address - Phone:603-528-3035
Practice Address - Fax:603-524-7153
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH150101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1047072OtherCIGNA
NH14Y000881NH01OtherWELLPOINT BHN
NH5395900OtherUBH PACIFICARE
NH11656407OtherCAQH
NH30009753Medicaid
VT1011854OtherVT MEDICAID