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Provider Information for 1598875684


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Ms. RUTH ELAINE DAVID MA LPC


Sex: Female

NPI: 1598875684
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1598875684
Enumeration Date2006-08-30
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 533 MCKINNEY AVENUE
CORSICANA, TX 75110
United States

Phone: 903-874-4251 | Fax:
 
Primary Practice Address 813 NORTH MAIN STREET
CORSICANA, TX 75110
United States

Phone: 903-423-3228 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDTX158316301
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalTX18277