Provider Demographics
NPI:1215132964
Name:MACALISTER, RUTH ANN (LSW)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:ANN
Last Name:MACALISTER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:ANN
Other - Last Name:HONER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:919 TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-1219
Mailing Address - Country:US
Mailing Address - Phone:570-271-6840
Mailing Address - Fax:570-271-5588
Practice Address - Street 1:100 N. ACADEMY AVENUE
Practice Address - Street 2:
Practice Address - City:DANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822
Practice Address - Country:US
Practice Address - Phone:570-271-6840
Practice Address - Fax:570-271-5588
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0166061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical