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Contact Information

ANGELA M CARRUTH, PSY.D.
5350 LAMME RD
MORAINE, OH45439-3215
 Phone: 937-534-4651
 Fax: 937-534-4609
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ANGELA M CARRUTH · (Female)

NPI # 1619061371
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 10/03/2006
Last updated 11/24/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 5483
  • OH Medicaid 2859536
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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