Provider Demographics
NPI:1730178039
Name:HABLAS, RUTH H (PHD)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:H
Last Name:HABLAS
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:PO BOX 326
Mailing Address - Street 2:RUTH H HABLAS PHD
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-0008
Mailing Address - Country:US
Mailing Address - Phone:978-388-5939
Mailing Address - Fax:
Practice Address - Street 1:24 MORRILL PLACE
Practice Address - Street 2:LEVEL ONE
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-0008
Practice Address - Country:US
Practice Address - Phone:978-388-5939
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3740103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAHAW04566Medicare ID - Type Unspecified