Ruderman, Ellen G

Ruderman, Ellen G is an individual health care provider with primary practice located at 16055 Ventura Blvd Ste 1110 , Encino CA 91436. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalysis, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychoanalysis is her primary health care specialty. Ruderman, Ellen G can be contacted via phone (818) 784-7090.

Contact Information

Primary practice address
16055 Ventura Blvd Ste 1110 Encino CA 91436
Phone: (818) 784-7090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X CERTIFICATE California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 000241 California

Profile Details

NPI number 1699834960
LBN Legal business name Ruderman, Ellen G
Credentials PHD PSYD LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699834960 NPPES
California Other LA #000241 STATE OF CALIFORNIA

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