Basic Information
| Provider Information | |||||||||
| NPI: | 1215093166 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARON | ||||||||
| FirstName: | RUBY | ||||||||
| MiddleName: | JOYCE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 114 SAVANNAH BND | ||||||||
| Address2: | |||||||||
| City: | MADISON | ||||||||
| State: | MS | ||||||||
| PostalCode: | 391107914 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6019815887 | ||||||||
| FaxNumber: | 6019817935 | ||||||||
| Practice Location | |||||||||
| Address1: | 357 TOWNE CENTER BLVD STE 402 | ||||||||
| Address2: | |||||||||
| City: | RIDGELAND | ||||||||
| State: | MS | ||||||||
| PostalCode: | 391574844 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6019520515 | ||||||||
| FaxNumber: | 6019522955 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/28/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 0580 | MS | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.