Erin Marissa Ruder | Los Angeles, CA • PECOS Search

Erin Marissa Ruder

Marriage & Family Therapist

Behavioral Health & Social Service Providers

1251 Westwood Blvd Ste 200, Los Angeles, CA 90024-4811

PECOS Enrollment

Based on the most recent information from CMS, provider Erin Marissa Ruder does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1871178871
Provider Type
Individual
Full Name
Ruder, Erin Marissa
Title
Ms.
Credential
AMFT

Gender
Female
Sole Proprietor
No
Enumeration Date
3/11/2021
Last Updated
3/11/2021

Contact Information

Practice Location

1251 Westwood Blvd Ste 200, Los Angeles, CA 90024-4811

Unlisted Fax

Mailing Location

1251 Westwood Blvd Ste 200, Los Angeles, CA 90024-4811

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 117703 California