Provider Demographics
NPI:1407072739
Name:HORNSTEIN, RUTH ANN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:ANN
Last Name:HORNSTEIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 OLIVER AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55405-2437
Mailing Address - Country:US
Mailing Address - Phone:612-925-4685
Mailing Address - Fax:
Practice Address - Street 1:2124 DUPONT AVE S STE G2
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55405-2759
Practice Address - Country:US
Practice Address - Phone:612-871-8684
Practice Address - Fax:612-871-2374
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3399103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical