Ruth Crater Hagerty, PH. D.
Individual provider Active NPI Clinical Psychologist · New Carlisle, IN
NPI 1720178056 · NPPES record last updated Sep 23, 2015
Key facts
- NPI
- 1720178056
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 20041202A (IN)
- Practice address
- 7166 N Canal
New Carlisle, IN 46552 - Phone
- (574) 654-3220
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20041202A | IN | Yes |
Addresses
Primary practice location
7166 N Canal
New Carlisle, IN 46552
Mailing address
PO Box 416
New Carlisle, IN 46552-0416
Phone (574) 654-3220
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All providers in New Carlisle, IN · Clinical Psychologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.