Provider Demographics
NPI:1518703032
Name:RUHL, TERESA FRANCES (PRS, CDCA)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:FRANCES
Last Name:RUHL
Suffix:
Gender:F
Credentials:PRS, CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2554 W 25TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-4700
Mailing Address - Country:US
Mailing Address - Phone:216-262-3714
Mailing Address - Fax:216-781-2252
Practice Address - Street 1:2554 W 25TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-4700
Practice Address - Country:US
Practice Address - Phone:121-626-2371
Practice Address - Fax:216-781-2252
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPS.004637175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist