Individual
MRS. LORETTA RUTH BRUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA MED MS
Contact information
Practice address
WRUSD #8 NAVAJO ROUTE 12, WINDOW ROCK UNIFIED SCHOOL, FT DEFIANCE, AZ 86504
(928) 810-7740
(928) 729-7630
Mailing address
PO BOX 1923, WINDOW ROCK, AZ 86515
(928) 871-5020
(928) 871-5020
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0032
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
649957
—
AZ
01
—
C 01005913
AMERICAN SPEECH LANGUAGE
—
01
—
SLP0032
AZ DEPT OF HEALTH SERVICE
AZ
Enumeration date
04/16/2007
Last updated
07/08/2007
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