Organization
LARISSA K. RUUSKANEN, PSY.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARISSA RUUSKANEN PSY.D. (OWNER)
(540) 412-8275
Entity
Organization
Contact information
Practice address
2217 PRINCESS ANNE ST STE 325, FREDERICKSBURG, VA 22401-3358
(540) 412-8275
(888) 972-2289
Mailing address
2217 PRINCESS ANNE ST STE 325, FREDERICKSBURG, VA 22401-3358
(540) 412-8275
(888) 972-2289
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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