MR. Peter Mitchell Ruderman, M.S.W.

NPI #1457584138 in Saint Louis, Missouri

Provider Information

NPI Number: 1457584138
Entity Type: Individual
Name: MR. Peter Mitchell Ruderman, M.S.W.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychoanalyst
Credential: M.S.W.
Enumeration Date: Aug 28, 2009
Last Updated: Aug 28, 2009

Practice Location

Address: 8820 LADUE RD
City: Saint Louis
State: Missouri
ZIP Code: 63124-2079
Phone: (314) 754-3253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychoanalyst	102L00000X	Primary

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