Mrs Lisa Amy Ruderman, MA MFT - Counselor in La Jolla, CA

Mrs Lisa Amy Ruderman, MA MFT is a Counselor - Mental Health based in La Jolla, California. Mrs Lisa Amy Ruderman is licensed to practice in California (license number MFC37853) and her current practice location is 9850 Genesee Ave, 425, La Jolla, California. She can be reached at her office (for appointments etc.) via phone at (858) 452-8467.

NPI number for Mrs Lisa Amy Ruderman is 1912044124 and her current mailing address is 10646 Briarlake Woods Dr, San Diego, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912044124.

Contact Information

Mrs Lisa Amy Ruderman, MA MFT
9850 Genesee Ave, 425,
La Jolla, CA 92037-1224
(858) 452-8467
(858) 452-8547

Map and Direction


Healthcare Provider's Profile

Full NameMrs Lisa Amy Ruderman
GenderFemale
SpecialityCounselor - Mental Health
Location9850 Genesee Ave, La Jolla, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912044124
  • Provider Enumeration Date: 01/30/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Lisa Amy Ruderman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912044124NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health MFC37853 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lisa Amy Ruderman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Lisa Amy Ruderman, MA MFT
10646 Briarlake Woods Dr,
San Diego, CA 92130-4832

Ph: (858) 481-7477
Mrs Lisa Amy Ruderman, MA MFT
9850 Genesee Ave, 425,
La Jolla, CA 92037-1224

Ph: (858) 452-8467

Reviews and Comments


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