Provider Demographics
NPI:1164645552
Name:ZOBER, RUTH STOCK (CSW)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:STOCK
Last Name:ZOBER
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 RAILROAD STREET
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017
Mailing Address - Country:US
Mailing Address - Phone:412-221-3302
Mailing Address - Fax:412-221-5229
Practice Address - Street 1:437 RAILROAD STREET
Practice Address - Street 2:CHARTIERS MHIMR CENTER INC
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017
Practice Address - Country:US
Practice Address - Phone:412-221-3302
Practice Address - Fax:412-221-5229
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0128941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA067005F64Medicare ID - Type Unspecified
P80802Medicare UPIN