MEDICARE: DR. RUTH E SAKS PH.D. LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LH00003854	WA

General Provider Information

NPI Number	:	1730249996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUTH E SAKS PH.D. LMHC

Provider Business Mailing Address
First Line	:	2910 E MADISON ST
Second Line	:	#206
City	:	SEATTLE
State	:	WA
Zip	:	98112-4214
Country	:	US
Telephone Number	:	206-860-2653
Fax Number	:	206-860-2411

Provider Business Practice Location Address
First Line	:	2910 E MADISON ST
Second Line	:	#206
City	:	SEATTLE
State	:	WA
Zip	:	98112-4214
Country	:	US
Telephone Number	:	206-860-2653
Fax Number	:	206-860-2411

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	07/08/2007

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