Provider Demographics
NPI:1902368525
Name:KNIGHT, RUTH ELIZABETH (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:ELIZABETH
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MISS
Other - First Name:RUTHIE
Other - Middle Name:ELIZABETH
Other - Last Name:RUTLEDGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS CCC- SLP
Mailing Address - Street 1:1012 MARQUEZ PL STE 211
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-1834
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1012 MARQUEZ PL STE 211
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-1834
Practice Address - Country:US
Practice Address - Phone:214-621-5011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-02
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114889235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM1902368525Medicaid