Individual
RUTH CHAFFEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2702 1/2 N PROCTOR ST, SUITE E, TACOMA, WA 98407-5243
(253) 756-8862
(253) 756-8886
Mailing address
P.O. BOX 7189, TACOMA, WA 98417-0189
(253) 756-8862
(253) 756-8886
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1258
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11582419
CAQH
WA
01
—
145154200
DEPARTMENT OF LABOR
WA
01
—
4586582
AETNA
WA
01
—
CH0129
REGENCE
WA
Enumeration date
01/16/2007
Last updated
03/26/2015
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