Doctor Name: | ADRIANNA RUISCH |
NPI Number: | 1003881160 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | 01520 |
Business Practice Address: | 180 10th St Se Suite 201 Le Mars, IA - 510312550 |
Business Phone Number: | 7125464624 |
Business Fax Number: | |
Mailing Address: | 201 11th St Sw, LE MARS |
State: | IA |
Postal Code: | 510312500 |
Phone Number: | 7125465739 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 01520 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |