Provider Demographics
NPI:1497467914
Name:RULANDER, JASON ROBERT (SOCIAL WORKER)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:ROBERT
Last Name:RULANDER
Suffix:
Gender:M
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:589 HOSPITAL DR STE E
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-4875
Mailing Address - Country:US
Mailing Address - Phone:814-723-1330
Mailing Address - Fax:814-723-5744
Practice Address - Street 1:589 HOSPITAL DR STE E
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-4875
Practice Address - Country:US
Practice Address - Phone:814-723-1330
Practice Address - Fax:814-723-5744
Is Sole Proprietor?:No
Enumeration Date:2022-12-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW139505101Y00000X, 101YM0800X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health