Basic Information
Provider Information
NPI: 1821201476
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RULE
FirstName: JUDITH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LPCC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5982 RHODES RD
Address2:  
City: KENT
State: OH
PostalCode: 442404128
CountryCode: US
TelephoneNumber: 3306731347
FaxNumber: 3306783677
Practice Location
Address1: 5982 RHODES RD
Address2:  
City: KENT
State: OH
PostalCode: 442404128
CountryCode: US
TelephoneNumber: 3306731347
FaxNumber: 3306783677
Other Information
ProviderEnumerationDate: 05/08/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500XE0007888OHY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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