Provider Demographics
NPI:1982727541
Name:KALB, RUTH D (PHD)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:D
Last Name:KALB
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 1:1021 1ST ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-3215
Mailing Address - Country:US
Mailing Address - Phone:415-925-8511
Mailing Address - Fax:415-472-5722
Practice Address - Street 1:1021 1ST ST
Practice Address - Street 2:SUITE 5
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-3215
Practice Address - Country:US
Practice Address - Phone:415-925-8511
Practice Address - Fax:415-472-5722
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY9805103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical