Provider Demographics
NPI:1336415009
Name:KIRZNER, RUTH (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:
Last Name:KIRZNER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 HOLLYBUSH RD
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1234
Mailing Address - Country:US
Mailing Address - Phone:610-581-0261
Mailing Address - Fax:
Practice Address - Street 1:433 HOLLYBUSH RD
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1234
Practice Address - Country:US
Practice Address - Phone:610-581-0261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006090101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional