| Ruth P. Manville, Lcsw, Pc | |
|
370 E South Temple Suite #240 Salt Lake City UT 84111-1206 | |
| (801) 328-8444 | |
| (801) 328-4590 |
| Full Name | Ruth P. Manville, Lcsw, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 370 E South Temple, Salt Lake City, Utah |
| Authorized Official Name and Position | Ruth Manville (PRESIDENT) |
| Authorized Official Contact | 8013288444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruth P. Manville, Lcsw, Pc 370 E South Temple Suite #240 Salt Lake City UT 84111-1206 Ph: (801) 328-8444 | Ruth P. Manville, Lcsw, Pc 370 E South Temple Suite #240 Salt Lake City UT 84111-1206 Ph: (801) 328-8444 |
| NPI Number | 1275701054 |
|---|---|
| Provider Enumeration Date | 02/14/2008 |
| Last Update Date | 02/14/2008 |
| Medicare PECOS PAC ID | 4082684287 |
|---|---|
| Medicare Enrollment ID | O20091023000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275701054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 131196-3501 (Utah) | Primary |
| Provider Name | Ruth P Manville |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023235033 PECOS PAC ID: 1850370743 Enrollment ID: I20040715000042 |
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