Rutt, Gloria Diane
Rutt, Gloria Diane is an sole proprietor health care provider with primary practice located at 2305 Coulter Drive , Cheyenne WY 82009. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rutt, Gloria Diane can be contacted via phone (307) 286-4106.Contact Information
Primary practice address
2305 Coulter Drive
Cheyenne WY 82009
Phone: (307) 286-4106
Fax: (307) 632-6588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 422 | Wyoming |
Profile Details
| NPI number | 1417906850 |
|---|---|
| LBN Legal business name | Rutt, Gloria Diane |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | Sep 11th, 2008 - about 16 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 | 1417906850 | NPPES |
| Wyoming | MEDICAID | 123535400 |
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