Provider Demographics
NPI:1770885592
Name:BLAIKIE, RUTH MAUREEN (MA)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:MAUREEN
Last Name:BLAIKIE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:MAUREEN
Other - Last Name:LAMBERTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:555 DAYTON ST STE D
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-3476
Mailing Address - Country:US
Mailing Address - Phone:425-778-8775
Mailing Address - Fax:425-771-7266
Practice Address - Street 1:555 DAYTON ST STE D
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-3476
Practice Address - Country:US
Practice Address - Phone:425-778-8775
Practice Address - Fax:425-771-7266
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF 60134867106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist