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Organization
MB INTEGRATIVE MENTAL HEALTH, PC
Active
Organization
MB INTEGRATIVE MENTAL HEALTH, PC
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY BETH RUCKI DNP, PMHNP-BC (NURSE PRACTITIONER)
(724) 601-4790
Entity
Organization
Contact information
Practice address
2400 ANSYS DR, CANONSBURG, PA 15317-0403
(724) 601-4790
Mailing address
2400 ANSYS DR, CANONSBURG, PA 15317-0403
(724) 601-4790
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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