Provider Demographics
NPI:1538116470
Name:RUHL-TERRANA, ELLA MARIE (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:ELLA
Middle Name:MARIE
Last Name:RUHL-TERRANA
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:ELLA
Other - Middle Name:M
Other - Last Name:TERRANA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:1288 PENORA ST
Mailing Address - Street 2:
Mailing Address - City:DEPEW
Mailing Address - State:NY
Mailing Address - Zip Code:14043-4512
Mailing Address - Country:US
Mailing Address - Phone:716-553-7653
Mailing Address - Fax:
Practice Address - Street 1:2740 MAIN ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-1702
Practice Address - Country:US
Practice Address - Phone:716-837-3990
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072889-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical