Provider Demographics
NPI:1760462345
Name:BALBONI, RUTH EVELYN (CNS)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:EVELYN
Last Name:BALBONI
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WALPOLE ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3315
Mailing Address - Country:US
Mailing Address - Phone:781-551-4455
Mailing Address - Fax:781-551-9898
Practice Address - Street 1:1 WALPOLE ST
Practice Address - Street 2:SUITE 6
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3315
Practice Address - Country:US
Practice Address - Phone:781-551-4455
Practice Address - Fax:781-551-9898
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA101-007163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health