Provider Demographics
NPI:1982746129
Name:REIBSTEIN, RUTH J (EDD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:J
Last Name:REIBSTEIN
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:J
Other - Last Name:GREENFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8 ASCENTA TER
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-2409
Mailing Address - Country:US
Mailing Address - Phone:617-527-8889
Mailing Address - Fax:
Practice Address - Street 1:115 MILL ST
Practice Address - Street 2:PROCTOR-318
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-1064
Practice Address - Country:US
Practice Address - Phone:617-855-2824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6119103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW0492701Medicare Oscar/Certification