Provider Demographics
NPI:1437554995
Name:CUNNINGHAM, RUTH (SLP)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:CUNNINGHAM
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 1:181 TARENTUM CULMERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:TARENTUM
Mailing Address - State:PA
Mailing Address - Zip Code:15084-2607
Mailing Address - Country:US
Mailing Address - Phone:724-882-9778
Mailing Address - Fax:
Practice Address - Street 1:181 TARENTUM CULMERVILLE RD
Practice Address - Street 2:
Practice Address - City:TARENTUM
Practice Address - State:PA
Practice Address - Zip Code:15084-2607
Practice Address - Country:US
Practice Address - Phone:724-882-9778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL004666L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist