Provider Demographics
NPI:1538355169
Name:ALTMAN, RUTH F (MA, LCSW)
Entity type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:F
Last Name:ALTMAN
Suffix:
Gender:F
Credentials:MA, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 MARYLAND AVE
Mailing Address - Street 2:SUITE 420
Mailing Address - City:CLAYTON
Mailing Address - State:MO
Mailing Address - Zip Code:63105-3752
Mailing Address - Country:US
Mailing Address - Phone:314-726-5969
Mailing Address - Fax:314-726-3043
Practice Address - Street 1:8000 MARYLAND AVE
Practice Address - Street 2:SUITE 420
Practice Address - City:CLAYTON
Practice Address - State:MO
Practice Address - Zip Code:63105-3752
Practice Address - Country:US
Practice Address - Phone:314-726-5969
Practice Address - Fax:314-726-3043
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLCSW 0022181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical