Provider Demographics
NPI:1598017584
Name:RUMINER, TRUDY DAWN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TRUDY
Middle Name:DAWN
Last Name:RUMINER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5015 N PENN AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-8891
Mailing Address - Country:US
Mailing Address - Phone:405-607-4340
Mailing Address - Fax:405-607-4396
Practice Address - Street 1:5015 N PENN AVE STE 202
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-8891
Practice Address - Country:US
Practice Address - Phone:405-607-4340
Practice Address - Fax:405-607-4396
Is Sole Proprietor?:No
Enumeration Date:2012-10-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK50191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical