IndividualActive
Alise Ruck, M.S. CCC-A
NPI 1043418577 · Audiologist · Havertown, PA
Provider details
- NPI number
- 1043418577
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- M.S. CCC-A
- Sex
- Female
- Sole proprietor
- Yes
- License
- AT005855 (PA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
204 Myrtle Ave
Havertown, PA 19083-5708
Phone: (610) 446-1083
Approximate (ZIP-level) locationGet directions
Mailing address
204 Myrtle Ave
Havertown, PA 19083-5708
Registry dates
- Enumerated
- 2007-07-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.