Individual
DR. RUTH ELAINE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
24 SALT POND RD, B-4, WAKEFIELD, RI 02879-4314
(401) 783-1310
Mailing address
17 NICHOLS RD, KINGSTON, RI 02881-1803
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS314
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200276
BLUE CHIP
RI
01
—
9471-9
BLUE CROSS
RI
01
—
RA60074
MEDICAL ASSISTANCE
RI
Enumeration date
02/14/2007
Last updated
07/08/2007
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