Provider Demographics
NPI:1619352085
Name:HOWARD, RUTH (PHD)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:HOWARD
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 1:555 SW 12TH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-3593
Mailing Address - Country:US
Mailing Address - Phone:954-657-9748
Mailing Address - Fax:
Practice Address - Street 1:555 SW 12TH AVE STE 100
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-3593
Practice Address - Country:US
Practice Address - Phone:954-657-9748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist