Individual
RICHARD E RUHROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., HSPP
Contact information
Practice address
850 N HARRISON ST, WARSAW, IN 46580-3163
(574) 267-7169
(574) 269-3995
Mailing address
2621 E JEFFERSON ST, WARSAW, IN 46580-3880
(574) 267-7169
(574) 269-4185
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040225A
IN
103TC0700X
Clinical Psychologist
20040225A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200040223A
—
IN
05
—
200040230A
—
IN
Enumeration date
10/27/2005
Last updated
03/18/2014
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