Provider Demographics
NPI:1295004398
Name:RUENES, UARDA (SLP)
Entity Type:Individual
Prefix:MRS
First Name:UARDA
Middle Name:
Last Name:RUENES
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 GOLDING DR
Mailing Address - Street 2:
Mailing Address - City:COBLESKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12043-1555
Mailing Address - Country:US
Mailing Address - Phone:518-234-2585
Mailing Address - Fax:
Practice Address - Street 1:143 GOLDING DR
Practice Address - Street 2:
Practice Address - City:COBLESKILL
Practice Address - State:NY
Practice Address - Zip Code:12043-1555
Practice Address - Country:US
Practice Address - Phone:518-234-2585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015498235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist