Individual
DR. BETH RUTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P., C.A.A.D.C.
Contact information
Practice address
8623 N WAYNE RD, WESTLAND, MI 48185-1137
(734) 425-0636
Mailing address
1247 WOODWARD AVE, APT 1010, DETROIT, MI 48226-2025
(734) 395-5622
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
C-02694
MI
103TC0700X
Clinical Psychologist
Primary
6301014879
MI
Other
Enumeration date
01/24/2011
Last updated
01/02/2014
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