Provider Demographics
NPI:1710220603
Name:RUTH WEBB PSYD LLC
Entity Type:Organization
Organization Name:RUTH WEBB PSYD LLC
Other - Org Name:JOURNEY'S PSYCHOLOGICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:HELEN
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:515-371-9783
Mailing Address - Street 1:14225 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 114A
Mailing Address - City:WAUKEE
Mailing Address - State:IA
Mailing Address - Zip Code:50263-8294
Mailing Address - Country:US
Mailing Address - Phone:515-371-9783
Mailing Address - Fax:515-225-6680
Practice Address - Street 1:14225 UNIVERSITY AVE
Practice Address - Street 2:SUITE 114A
Practice Address - City:WAUKEE
Practice Address - State:IA
Practice Address - Zip Code:50263-8294
Practice Address - Country:US
Practice Address - Phone:515-371-9783
Practice Address - Fax:515-225-6680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-29
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001197103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1467754655Medicaid