Provider Demographics
NPI:1174682967
Name:WINTER, RUTH FELDMAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:FELDMAN
Last Name:WINTER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:384 INVERNESS PKWY
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-5821
Mailing Address - Country:US
Mailing Address - Phone:303-430-2954
Mailing Address - Fax:
Practice Address - Street 1:384 INVERNESS PKWY
Practice Address - Street 2:SUITE 120
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5821
Practice Address - Country:US
Practice Address - Phone:303-430-2954
Practice Address - Fax:303-753-1341
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9800111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO487682OtherVALUE OPTIONS PROVIDER ID