Provider Demographics
NPI:1366464521
Name:RUWE, WILLIAM D (PHD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:D
Last Name:RUWE
Suffix:
Gender:M
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:PO BOX 14070
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73113-0070
Mailing Address - Country:US
Mailing Address - Phone:405-286-6000
Mailing Address - Fax:
Practice Address - Street 1:3441 W MEMORIAL RD
Practice Address - Street 2:SUITE 7
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-7000
Practice Address - Country:US
Practice Address - Phone:405-286-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK883103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical