Provider Demographics
NPI:1720143571
Name:SMITH, RUTH ARBITMAN (PHD)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:ARBITMAN
Last Name:SMITH
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 1:345 24TH AVE N
Mailing Address - Street 2:SUITE 209
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203
Mailing Address - Country:US
Mailing Address - Phone:615-327-3620
Mailing Address - Fax:615-329-0659
Practice Address - Street 1:345 24TH AVE N
Practice Address - Street 2:SUITE 209
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203
Practice Address - Country:US
Practice Address - Phone:615-327-3620
Practice Address - Fax:615-329-0659
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP1126103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
3680977Medicare ID - Type Unspecified
S51844Medicare UPIN