Individual
RUBEN ECHEMENDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 E CALDER WAY STE 205, STATE COLLEGE, PA 16801-4756
(814) 235-5588
Mailing address
204 E CALDER WAY STE 205, STATE COLLEGE, PA 16801-4756
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS-004781-L
PA
103TC0700X
Clinical Psychologist
PS004781-L
PA
Other
Enumeration date
11/27/2005
Last updated
08/06/2009
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