Provider Demographics
NPI:1548866510
Name:VILHAUER, RUVANEE MP (PHD)
Entity type:Individual
Prefix:DR
First Name:RUVANEE
Middle Name:MP
Last Name:VILHAUER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 CHESTNUT DR
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-5627
Mailing Address - Country:US
Mailing Address - Phone:862-226-6142
Mailing Address - Fax:
Practice Address - Street 1:197 CHESTNUT DR
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-5627
Practice Address - Country:US
Practice Address - Phone:862-226-6142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017535103T00000X
CA19480103T00000X
NJ35SI00483000103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist