Provider Demographics
NPI:1922993716
Name:ALDRICH-RUENZEL, NANCY JANE
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:JANE
Last Name:ALDRICH-RUENZEL
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 1:1600 SHATTUCK AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94709-1601
Mailing Address - Country:US
Mailing Address - Phone:707-776-6130
Mailing Address - Fax:
Practice Address - Street 1:1600 SHATTUCK AVE STE 200
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94709-1601
Practice Address - Country:US
Practice Address - Phone:707-776-6130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health