Provider Demographics
NPI:1295734358
Name:RUTHERFORD, CLAUDIA B (PHD)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:B
Last Name:RUTHERFORD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 BANK ROW
Mailing Address - Street 2:SUITE 2S
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301
Mailing Address - Country:US
Mailing Address - Phone:413-475-0086
Mailing Address - Fax:909-752-4363
Practice Address - Street 1:25 BANK ROW ST STE 2S
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-3598
Practice Address - Country:US
Practice Address - Phone:413-475-0086
Practice Address - Fax:909-752-4363
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8025103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110022502AMedicaid
MAW51270Medicare PIN