Provider Demographics
NPI:1124463070
Name:MCKAY, RUTH JONES (MA, LMFT)
Entity type:Individual
Prefix:MS
First Name:RUTH
Middle Name:JONES
Last Name:MCKAY
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 WESTBROOK HILLS DR
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13215-1841
Mailing Address - Country:US
Mailing Address - Phone:315-464-7513
Mailing Address - Fax:
Practice Address - Street 1:215 WESTBROOK HILLS DR
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13215-1841
Practice Address - Country:US
Practice Address - Phone:315-464-7513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000138106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist