Provider Demographics
NPI:1700916376
Name:DRASIN, RUTH E (PHD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:E
Last Name:DRASIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 MASSACHUSETTS AVE
Mailing Address - Street 2:SUITE 405
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-3840
Mailing Address - Country:US
Mailing Address - Phone:617-441-8823
Mailing Address - Fax:
Practice Address - Street 1:1280 MASSACHUSETTS AVE
Practice Address - Street 2:SUITE 405
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-3840
Practice Address - Country:US
Practice Address - Phone:617-441-8823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6929103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist