Rutledge, Deborah Rose

Rutledge, Deborah Rose is an individual health care provider with primary practice located at 2780 Junipero Serra Blvd , Daly City CA 94015-1634. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Rutledge, Deborah Rose can be contacted via phone (650) 985-7016.

Contact Information

Primary practice address
2780 Junipero Serra Blvd Daly City CA 94015-1634
Phone: (650) 985-7016
Fax: (650) 985-7019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MFTI 57586 California

Profile Details

NPI number 1144553918
LBN Legal business name Rutledge, Deborah Rose
Credentials MFTI
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2009
Last updated Sep 11th, 2009 - about 15 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 1144553918 NPPES
California Other 943083772 JEFFERSON UNION HIGH SCHOOL DISTRICT

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