Provider Demographics
NPI:1932410602
Name:MOSCOW-COHEN, RUTH SUSAN (LMSW)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:SUSAN
Last Name:MOSCOW-COHEN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 N MAIN ST
Mailing Address - Street 2:SUITE 420-C
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-1127
Mailing Address - Country:US
Mailing Address - Phone:734-665-0066
Mailing Address - Fax:866-885-7462
Practice Address - Street 1:320 N MAIN ST
Practice Address - Street 2:SUITE 420-C
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-1127
Practice Address - Country:US
Practice Address - Phone:734-665-0066
Practice Address - Fax:866-885-7462
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010570981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical