Individual
MS. LAUREN PATRUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
10863 BOYETTE RD, RIVERVIEW, FL 33569-8012
(941) 993-5639
Mailing address
4003 S WEST SHORE BLVD APT 2503, TAMPA, FL 33611-1033
(941) 993-5639
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS1513
FL
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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