MEDICARE: RUTH BLUETHENTHAL-APPEL LCSW, CERTIFIED CFT

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	1041C0700X	Clinical Social Worker	SW006178E	PA

General Provider Information

NPI Number	:	1679718464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUTH BLUETHENTHAL-APPEL LCSW, CERTIFIED CFT

Provider Business Mailing Address
First Line	:	315 YORKTOWN PLZ
Second Line	:
City	:	ELKINS PARK
State	:	PA
Zip	:	19027-1427
Country	:	US
Telephone Number	:	215-572-0979
Fax Number	:	215-572-0410

Provider Business Practice Location Address
First Line	:	315 YORKTOWN PLZ
Second Line	:
City	:	ELKINS PARK
State	:	PA
Zip	:	19027-1427
Country	:	US
Telephone Number	:	215-572-0979
Fax Number	:	215-572-0410

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

Provider Enumeration Date	:	12/08/2008
Last Update Date	:	12/08/2008

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