Provider Demographics
NPI:1316080518
Name:KANE-LEVIT, RUTH ELLEN (PHD)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:ELLEN
Last Name:KANE-LEVIT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:ELLEN
Other - Last Name:KANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26 S PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-2362
Mailing Address - Country:US
Mailing Address - Phone:413-548-1071
Mailing Address - Fax:
Practice Address - Street 1:26 S PROSPECT ST
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2362
Practice Address - Country:US
Practice Address - Phone:413-548-1071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4818103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical