Provider Demographics
NPI:1972629566
Name:MILES, RUTH BOWEN
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:BOWEN
Last Name:MILES
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 1:3200 21ST ST STE 101
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3108
Mailing Address - Country:US
Mailing Address - Phone:661-706-3240
Mailing Address - Fax:661-706-3240
Practice Address - Street 1:3200 21ST ST
Practice Address - Street 2:STE 101
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3144
Practice Address - Country:US
Practice Address - Phone:661-706-3240
Practice Address - Fax:661-706-3240
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist