Provider Demographics
NPI:1598880866
Name:RUHE, WENDI LEE (MEDCCC-SLP)
Entity Type:Individual
Prefix:
First Name:WENDI
Middle Name:LEE
Last Name:RUHE
Suffix:
Gender:F
Credentials:MEDCCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3518 RIDGESTONE DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44903-8426
Mailing Address - Country:US
Mailing Address - Phone:419-522-5045
Mailing Address - Fax:
Practice Address - Street 1:225 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:OH
Practice Address - Zip Code:44875-1412
Practice Address - Country:US
Practice Address - Phone:419-347-1503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP5672235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist