Provider Demographics
NPI:1750410403
Name:KHOWAIS, RUTH E (PSYD)
Entity type:Individual
Prefix:DR
First Name:RUTH
Middle Name:E
Last Name:KHOWAIS
Suffix:
Gender:F
Credentials:PSYD
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Mailing Address - Street 1:35 BRAINTREE HILL PARK
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-8703
Mailing Address - Country:US
Mailing Address - Phone:781-843-8887
Mailing Address - Fax:781-843-3179
Practice Address - Street 1:1419 HANCOCK ST
Practice Address - Street 2:SUITE 302
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-5250
Practice Address - Country:US
Practice Address - Phone:781-843-8887
Practice Address - Fax:781-843-3179
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA8247103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1893441Medicaid