Provider Demographics
NPI:1982683132
Name:EICHLER, RUTH L (LMSW, ACSW, LMSW)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:L
Last Name:EICHLER
Suffix:
Gender:F
Credentials:LMSW, ACSW, LMSW
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:L
Other - Last Name:EICHLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:1741 PERSIAN WOOD CIR
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49006-3938
Mailing Address - Country:US
Mailing Address - Phone:269-381-7007
Mailing Address - Fax:
Practice Address - Street 1:3217 GREENLEAF BLVD
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49008-2596
Practice Address - Country:US
Practice Address - Phone:269-381-7007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-14
Last Update Date:2020-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010612881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0890863Medicare PIN