1912057415 NPI number — DR. RUTH OUZTS CASH PH.D., NCC, LPC

Table of content: DR. RUTH OUZTS CASH PH.D., NCC, LPC (NPI 1912057415)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912057415 NPI number — DR. RUTH OUZTS CASH PH.D., NCC, LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CASH
Provider First Name:
RUTH
Provider Middle Name:
OUZTS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D., NCC, LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
OUZTS
Provider Other First Name:
RUTH
Provider Other Middle Name:
MARGENE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.ED, NCC, LPC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1912057415
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
187 STATELINE RD E
Provider Second Line Business Mailing Address:
SUITE 17
Provider Business Mailing Address City Name:
SOUTHAVEN
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
38671-1704
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
662-342-2700
Provider Business Mailing Address Fax Number:
662-342-7300

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
187 STATELINE RD E
Provider Second Line Business Practice Location Address:
SUITE 17
Provider Business Practice Location Address City Name:
SOUTHAVEN
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
38671-1704
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-342-2700
Provider Business Practice Location Address Fax Number:
662-342-7300
Provider Enumeration Date:
01/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  0626 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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