Provider Demographics
NPI:1124006820
Name:VALENTINE, RUTHANN (DMIN, APRN, BC)
Entity Type:Individual
Prefix:DR
First Name:RUTHANN
Middle Name:
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:DMIN, APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 HARVEST DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-4804
Mailing Address - Country:US
Mailing Address - Phone:412-372-1465
Mailing Address - Fax:
Practice Address - Street 1:1212 HARVEST DR
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-4804
Practice Address - Country:US
Practice Address - Phone:412-372-1465
Practice Address - Fax:724-539-1634
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN136278L101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA488893OtherBLUE CROSS/BLUE SHIELD