Individual
DR. JUDITH RUTBERG-SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
793 ERICKSEN AVE NE STE 123, BAINBRIDGE ISLAND, BAINBRIDGE ISLAND, WA 98110-1877
(206) 478-8104
Mailing address
793 ERICKSEN AVE NE STE 123, BAINBRIDGE ISLAND, BAINBRIDGE ISLAND, WA 98110-1877
(206) 478-8104
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3453
WA
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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