Provider Demographics
NPI:1679718464
Name:BLUETHENTHAL-APPEL, RUTH (LCSW, CERTIFIED CFT)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:BLUETHENTHAL-APPEL
Suffix:
Gender:F
Credentials:LCSW, CERTIFIED CFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 YORKTOWN PLZ
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1427
Mailing Address - Country:US
Mailing Address - Phone:215-572-0979
Mailing Address - Fax:215-572-0410
Practice Address - Street 1:315 YORKTOWN PLZ
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1427
Practice Address - Country:US
Practice Address - Phone:215-572-0979
Practice Address - Fax:215-572-0410
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW006178E1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical