Provider Demographics
NPI:1477184687
Name:ALTAMURA-ROLL, RUTH (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:ALTAMURA-ROLL
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3905
Mailing Address - Country:US
Mailing Address - Phone:908-237-2899
Mailing Address - Fax:
Practice Address - Street 1:26 MAIN ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1460
Practice Address - Country:US
Practice Address - Phone:908-237-2899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH37PC00152700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional