Provider Demographics
NPI:1215093166
Name:ARON, RUBY JOYCE
Entity type:Individual
Prefix:
First Name:RUBY
Middle Name:JOYCE
Last Name:ARON
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 1:114 SAVANNAH BND
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-7914
Mailing Address - Country:US
Mailing Address - Phone:601-981-5887
Mailing Address - Fax:601-981-7935
Practice Address - Street 1:357 TOWNE CENTER BLVD STE 402
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-4844
Practice Address - Country:US
Practice Address - Phone:601-952-0515
Practice Address - Fax:601-952-2955
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS0580101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional