Provider Demographics
NPI:1083949044
Name:SCHILDINER, RUTHRAY ((MA, CFLE) CAS)
Entity Type:Individual
Prefix:
First Name:RUTHRAY
Middle Name:
Last Name:SCHILDINER
Suffix:
Gender:F
Credentials:(MA, CFLE) CAS
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:LOEW
Other - Last Name:SCHILDINER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:(MA, CFLE) CAS
Mailing Address - Street 1:2 WEST NORTHFIELD RD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039
Mailing Address - Country:US
Mailing Address - Phone:973-422-9799
Mailing Address - Fax:973-736-3488
Practice Address - Street 1:2 WEST NORTHFIELD RD
Practice Address - Street 2:SUITE 209
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039
Practice Address - Country:US
Practice Address - Phone:973-422-9799
Practice Address - Fax:973-736-3488
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-08
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
C-1741101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)