Ruddy, Philip

Ruddy, Philip is an sole proprietor health care provider with primary practice located at 205 Pasadena Ave , South Pasadena CA 91030. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Ruddy, Philip can be contacted via phone (323) 344-5536.

Contact Information

Primary practice address
205 Pasadena Ave South Pasadena CA 91030
Phone: (323) 344-5536
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT107495 California

Profile Details

NPI number 1699211185
LBN Legal business name Ruddy, Philip
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2017
Last updated Jul 11th, 2018 - about 8 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 1699211185 NPPES
California Other 7667 MEDI-CAL
California Other 7184 MEDI-CAL
California Other 7368 MEDI-CAL
California Other 7708 MEDI-CAL

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