Individual
MS. RUTH SUSAN ROSENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141-6393
(180) 032-5398
Mailing address
12647 OLIVE BOULEVARD, SUITE 600, ST. LOUIS, MO 63141
(180) 032-5398
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LCSW-3888
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-335-7595
FEDERAL I.D. # 22-335-7595
NJ
01
—
RO523636
MEDICARE PROVIDER NUMBER
NJ
Enumeration date
04/01/2009
Last updated
04/01/2009
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