Provider Demographics
NPI:1790986727
Name:RUIZ, HAYDEE M
Entity Type:Individual
Prefix:MISS
First Name:HAYDEE
Middle Name:M
Last Name:RUIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 POLK ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-6915
Mailing Address - Country:US
Mailing Address - Phone:415-292-2180
Mailing Address - Fax:415-292-2174
Practice Address - Street 1:1001 POLK ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-6915
Practice Address - Country:US
Practice Address - Phone:415-292-2180
Practice Address - Fax:415-292-2174
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor