Provider Demographics
NPI:1295133403
Name:RUHE, NANCY (MS,NCSP)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:RUHE
Suffix:
Gender:F
Credentials:MS,NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 N WATER ST
Mailing Address - Street 2:
Mailing Address - City:PAULDING
Mailing Address - State:OH
Mailing Address - Zip Code:45879-1251
Mailing Address - Country:US
Mailing Address - Phone:419-399-4656
Mailing Address - Fax:419-399-2404
Practice Address - Street 1:405 N WATER ST
Practice Address - Street 2:
Practice Address - City:PAULDING
Practice Address - State:OH
Practice Address - Zip Code:45879-1251
Practice Address - Country:US
Practice Address - Phone:419-399-4656
Practice Address - Fax:419-399-2404
Is Sole Proprietor?:No
Enumeration Date:2014-12-22
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOS1044172103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool