Provider Demographics
NPI:1346570264
Name:WRAIGHT-MASTERLEO, RUTH W (LMHC)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:W
Last Name:WRAIGHT-MASTERLEO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:
Other - Last Name:WRAIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:2827 JAMES ST
Mailing Address - Street 2:SUITE 215
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13206-2128
Mailing Address - Country:US
Mailing Address - Phone:315-727-4742
Mailing Address - Fax:315-469-4474
Practice Address - Street 1:2827 JAMES ST
Practice Address - Street 2:SUITE 215
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13206-2128
Practice Address - Country:US
Practice Address - Phone:315-727-4742
Practice Address - Fax:315-469-4474
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-29
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health