DR. LYNNETTE G RUCH


Address: 2819o Willow Street Pike N, Willow Street, PA 17584-9496
Phone: 7174641464

DR. LYNNETTE G RUCH (NPI# 1629014741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629014741
Entity Type Individual
Full Name DR. LYNNETTE G RUCH
Credential PHD
Practice Address 2819o Willow Street Pike N
Willow Street
PA 17584-9496
Mailing Address 21 Gable Park Rd
Lancaster
PA 17603
Practice Telephone 7174641464
Practice Fax Number 7174644348
Mailing Telephone 7178722603
Enumeration Date 2006-06-20
Last Update Date 2010-07-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist PS006874L PA Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
PS 006874 L PA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 01442642 05

Office Location

Street Address 2819O WILLOW STREET PIKE N
City WILLOW STREET
State PA
Zip Code 17584-9496

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174769400 Elaine Renee Potts Social Worker 2819o Willow Street Pike N, Willow Street, PA 17584-9496 2008-12-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396397873 Bethany M Noll Audiologist-Hearing Aid Fitter 226 Willow Valley Lakes Drive, Suite D, Willow Street, PA 17584 2019-07-15
1720546070 Michelle Beachy Licensed Practical Nurse 212 Willow Lakes Drive, Suite 208, Willow Street, PA 17584 2019-03-06
1295293603 Mary Florida Registered Nurse Department of Veteran Affiars, 212 Willow Valley Lakes Drive, Willow Street, PA 17584 2019-03-05
1275069494 Victoria Vanburen Counselor 2819 Willow Street Pike, Willow Street, PA 17584 2017-05-08
1528505245 Beverly Gooden Pharmacist 2600 Willow St. Pike, Willow St., PA 17584 2017-01-20
1902357544 White Family Dental - Willow Street Dentist 212 Willow Valley Drive, Suite 209, Willow Street, PA 17584 2016-10-19
1134482144 Alexis H Le Pharmacist 2600 N Willow Street Pike, Kmart Pharmacy #3810, Willow Street, PA 17584 2012-06-25
1992020309 Elizabeth A Trozzo Pharmacist 2600 Willow Street Pike, Willow Street, PA 17584 2010-03-30
1295987642 Nu Smile Family Dentistry Dentist 2600 Willowstreet Pike, Ste# 310, Willo W Street, PA 17584 2008-10-16
1629255948 T W Ponessa and Associates Counseling Services Inc Community/Behavioral Health 730 Hans Herr Drive, Willow Street, PA 17584 2008-01-29
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City WILLOW STREET
Zip Code 17584

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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