Provider Demographics
NPI:1467576454
Name:HOOLEY, RUTH R (MSRN PHD PSYD)
Entity type:Individual
Prefix:DR
First Name:RUTH
Middle Name:R
Last Name:HOOLEY
Suffix:
Gender:F
Credentials:MSRN PHD PSYD
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Mailing Address - Street 1:8971 CROSSINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:LONETREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5583
Mailing Address - Country:US
Mailing Address - Phone:303-798-8887
Mailing Address - Fax:303-798-8887
Practice Address - Street 1:1776 S JACKSON ST
Practice Address - Street 2:#618
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3801
Practice Address - Country:US
Practice Address - Phone:303-649-6685
Practice Address - Fax:303-798-8887
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-17
Last Update Date:2008-02-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO1953103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07019532Medicaid
CO07019532Medicaid