Individual
DIANNE RUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5249 E TERRACE DR, MADISON, WI 53718-8339
(608) 222-9777
Mailing address
1265 JOHN Q HAMMONS DR, MADISON, WI 53717-1941
(608) 251-4156
(608) 257-3842
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
307
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39725700
—
WI
Enumeration date
10/02/2006
Last updated
07/08/2007
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