Healthcare Provider Details

I. General information

NPI: 1215558523
Provider Name (Legal Business Name): RUTH GATT PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2020
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2219 MAIN ST UNIT 706
SANTA MONICA CA
90405-2217
US

IV. Provider business mailing address

2219 MAIN ST UNIT 706
SANTA MONICA CA
90405-2217
US

V. Phone/Fax

Practice location:
  • Phone: 310-359-0023
  • Fax:
Mailing address:
  • Phone: 310-359-0023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY34318
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: