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Individual

DR. JEFFREY RUSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
113 JOYCE CTR STE C45, NOTRE DAME, IN 46556-5678
(847) 494-7643
Mailing address
1507 E LASALLE AVE, SOUTH BEND, IN 46617-2605
(847) 494-7643

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20043924A
IN
103TE1100X
Exercise & Sports Psychologist
20043924A
IN

Other

Enumeration date
07/08/2025
Last updated
07/15/2025
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