Provider Demographics
NPI:1578788212
Name:DAVIS, RUTH M (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:M
Last Name:DAVIS
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Gender:F
Credentials:PSYD
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Mailing Address - Street 1:2101 EAST JEFFERSON STREET
Mailing Address - Street 2:KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852
Mailing Address - Country:US
Mailing Address - Phone:301-816-6660
Mailing Address - Fax:301-816-6308
Practice Address - Street 1:1011 N CAPITOL ST NE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4236
Practice Address - Country:US
Practice Address - Phone:202-898-5258
Practice Address - Fax:202-898-5103
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2010-11-30
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Provider Licenses
StateLicense IDTaxonomies
DCPSY1275103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist