Ruth, Sarah Lucetta

Ruth, Sarah Lucetta is an individual health care provider with primary practice located at 105 Valley West Dr Ste 100 , West Des Moines IA 50265-3902. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Ruth, Sarah Lucetta can be contacted via phone (515) 223-4368.

Contact Information

Primary practice address
105 Valley West Dr Ste 100 West Des Moines IA 50265-3902
Fax: (515) 453-2368
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 075041 Iowa

Profile Details

NPI number 1740659838
LBN Legal business name Ruth, Sarah Lucetta
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2015
Last updated Sep 10th, 2020 - about 5 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 1740659838 NPPES
Iowa MEDICAID 1740659838

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