Provider Demographics
NPI:1487099180
Name:RULAND, MICHELE M (LCSW)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:M
Last Name:RULAND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 LANGLEY HILL RD
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:NY
Mailing Address - Zip Code:12834-3029
Mailing Address - Country:US
Mailing Address - Phone:518-538-5040
Mailing Address - Fax:
Practice Address - Street 1:170 LANGLEY HILL RD
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:NY
Practice Address - Zip Code:12834-3029
Practice Address - Country:US
Practice Address - Phone:518-538-5040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-08
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0854431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical