Provider Demographics
NPI:1558494096
Name:MCWHORTER, RUTH A (MC)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:A
Last Name:MCWHORTER
Suffix:
Gender:F
Credentials:MC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6140 E VOLTAIRE AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-3807
Mailing Address - Country:US
Mailing Address - Phone:480-483-7884
Mailing Address - Fax:480-607-7831
Practice Address - Street 1:6140 E VOLTAIRE AVE
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-3807
Practice Address - Country:US
Practice Address - Phone:480-483-7884
Practice Address - Fax:480-607-7831
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-0338101YM0800X
AZLMFT-0177106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist