Doctor Name: | REBECCA RUELO |
NPI Number: | 1497090542 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SA10113 |
Business Practice Address: | 3865 Tampa Rd Oldsmar, FL - 346773008 |
Business Phone Number: | 8138554661 |
Business Fax Number: | 8138542129 |
Mailing Address: | 18954 Maisons Dr, LUTZ |
State: | FL |
Postal Code: | 335582836 |
Phone Number: | 8137892560 |
Fax Number: | 8139637840 |
NPI Enumeration Date: | 11/30/2012 |
NPI Last Update Date: | 11/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA10113 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |