Individual
VINCENT RUSCELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
560 BLOSSOM SUITE B, WEBSTER, TX 77598
(281) 338-1382
(281) 613-1362
Mailing address
560 BLOSSOM SUITE B, WEBSTER, TX 77598
(281) 338-1382
(281) 613-1362
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
21088
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000AR418
—
TX
Enumeration date
08/30/2006
Last updated
03/07/2009
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