Individual
RUTH M MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
66 E 3RD ST, 201, WINONA, MN 55987-3478
(507) 452-7292
(507) 457-9887
Mailing address
1707 MAIN ST, LA CROSSE, WI 54601-4200
(608) 785-0001
(608) 785-0002
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0177
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117761
—
MN
01
—
731291012003
PREFERRED ONE
MN
05
—
938548700
—
MN
01
—
974T9MA
BCBS-MN
MN
01
—
HP17766
HEALTHPARTNERS
MN
Enumeration date
12/14/2006
Last updated
07/09/2010
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