Provider Demographics
NPI:1447472451
Name:ESCOBEDO, RUTH
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:ESCOBEDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93905-2804
Mailing Address - Country:US
Mailing Address - Phone:831-758-4930
Mailing Address - Fax:
Practice Address - Street 1:1310 1ST AVE
Practice Address - Street 2:SAME AS MAILING ADDRESS
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93905-2804
Practice Address - Country:US
Practice Address - Phone:831-758-4930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health