Provider Demographics
NPI:1376054577
Name:MARSHALL, RUMA (MSW)
Entity Type:Individual
Prefix:
First Name:RUMA
Middle Name:
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:RUMA
Other - Middle Name:
Other - Last Name:RANJIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16 HULSE ST
Mailing Address - Street 2:
Mailing Address - City:THROOP
Mailing Address - State:PA
Mailing Address - Zip Code:18512-1318
Mailing Address - Country:US
Mailing Address - Phone:570-604-0949
Mailing Address - Fax:
Practice Address - Street 1:301 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18503-1230
Practice Address - Country:US
Practice Address - Phone:570-507-9272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-16
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW125867104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker