Provider Demographics
NPI:1609176510
Name:WAPNICK, RUTH (PHD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:
Last Name:WAPNICK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BARSTOW RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3502
Mailing Address - Country:US
Mailing Address - Phone:516-466-8477
Mailing Address - Fax:
Practice Address - Street 1:1 GREAT NECK RD
Practice Address - Street 2:SUITE 6
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3308
Practice Address - Country:US
Practice Address - Phone:516-482-8693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8320103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist