Ruch, Lynnette G

Ruch, Lynnette G is an individual health care provider with primary practice located at 2819O Willow Street Pike N , Willow Street PA 17584-9496. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ruch, Lynnette G can be contacted via phone (717) 464-1464.

Contact Information

Primary practice address
2819O Willow Street Pike N Willow Street PA 17584-9496
Phone: (717) 464-1464
Fax: (717) 464-4348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS 006874 L Pennsylvania
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS006874L Pennsylvania

Profile Details

NPI number 1629014741
LBN Legal business name Ruch, Lynnette G
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jul 30th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629014741 NPPES
Pennsylvania MEDICAID 01442642

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