Healthcare Provider Details

I. General information

NPI: 1699852574
Provider Name (Legal Business Name): RUYLE AND ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 PARK ST SUITE 101B
MUSKEGON MI
49444-3736
US

IV. Provider business mailing address

3535 PARK ST SUITE 101B
MUSKEGON MI
49444-3736
US

V. Phone/Fax

Practice location:
  • Phone: 231-737-4444
  • Fax: 231-737-5555
Mailing address:
  • Phone: 231-737-4444
  • Fax: 231-737-5555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateMI

VIII. Authorized Official

Name: DR. ROBERTA LOUISE RUYLE
Title or Position: OWNER
Credential: PHD
Phone: 231-737-4444