Individual
LESLIE RUIZ
Active
Individual
LESLIE RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY12387
FL
103TC0700X
Clinical Psychologist
PY12387
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/13/2011
Last updated
06/26/2025
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