DR. Judith Rutberg-Self, PHD

NPI #1841341948 in Bainbridge Island, Washington

Provider Information

NPI Number: 1841341948
Entity Type: Individual
Name: DR. Judith Rutberg-Self, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Jan 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 793 ERICKSEN AVE NE STE 123
Address 2: BAINBRIDGE ISLAND
City: Bainbridge Island
State: Washington
ZIP Code: 98110-1877
Phone: (206) 478-8104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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Organizations

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