Provider Demographics
NPI:1245297431
Name:HAST, RUTH ANNE (LPC)
Entity type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:ANNE
Last Name:HAST
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3631 N BRYANT AVE
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-4035
Mailing Address - Country:US
Mailing Address - Phone:405-359-0440
Mailing Address - Fax:405-348-3300
Practice Address - Street 1:171 STONEBRIDGE BLVD
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-4639
Practice Address - Country:US
Practice Address - Phone:405-844-8255
Practice Address - Fax:405-348-3300
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2324101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health