Ruderman, Matthew A

Ruderman, Matthew A is an sole proprietor health care provider with primary practice located at 1339 20Th St , Santa Monica CA 90404-2033. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Ruderman, Matthew A can be contacted via phone (310) 829-8921.

Contact Information

Primary practice address
1339 20Th St Santa Monica CA 90404-2033
Phone: (310) 829-8921
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY27452 California

Profile Details

NPI number 1750716494
LBN Legal business name Ruderman, Matthew A
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2013
Last updated Sep 29th, 2015 - about 11 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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