Healthcare Provider Details

I. General information

NPI: 1831369685
Provider Name (Legal Business Name): TAMMY L RUCH LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2008
Last Update Date: 03/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

FAITH ACADEMY, PENNY LANE, VALLEY GOLF SUBD. DON CELSO TUAZON AVENUE
CAINTA RIZAL
1900
PH

IV. Provider business mailing address

SIL P.O. BOX 2270 CPO
MANILA PHILIPPINES
1099
PH

V. Phone/Fax

Practice location:
  • Phone: 632-658-0048
  • Fax:
Mailing address:
  • Phone: 7226186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4878
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: