Individual
RUBI LOZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-2273
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 722-1498
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
782
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/15/2008
Last updated
04/29/2022
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