Organization
RUTH WITTERSGREEN PLC
Active
Organization
RUTH WITTERSGREEN PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH WITTERSGREEN PHD (OWNER)
(540) 887-6538
Entity
Organization
Contact information
Practice address
828 N AUGUSTA ST, STAUNTON, VA 24401-3211
(540) 887-6538
(202) 333-2525
Mailing address
202 HENDREN AVE, STAUNTON, VA 24401-2847
(540) 887-6538
(202) 333-2525
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003439
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255383618
—
VA
01
—
374723
ANTHEM
VA
Enumeration date
09/23/2009
Last updated
09/23/2009
Update your record
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