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NPI Code Detail

MEDICARE: RUTH L. GREENBERG PH.D.

MEDICARE:   RUTH L. GREENBERG  PH.D.
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
1103TC1900XCounseling PsychologistPS004037LPA

General Provider Information

NPI Number : 1023005584
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH L. GREENBERG PH.D.
Provider Business Mailing Address
First Line : 1528 WALNUT ST
Second Line : SUITE 1203
City : PHILA
State : PA
Zip : 19102-3604
Country : US
Telephone Number : 215-546-8530
Fax Number :
Provider Business Practice Location Address
First Line : 1528 WALNUT ST
Second Line : SUITE 1203
City : PHILA
State : PA
Zip : 19102-3604
Country : US
Telephone Number : 215-546-8530
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2005
Last Update Date : 07/08/2007

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Directions to “ RUTH L. GREENBERG PH.D.” Practice Location

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