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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699834960 | NPPES |
California | Other | LA #000241 | STATE OF CALIFORNIA |
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