Individual
INGRID RAUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
725 E ADAMS ST, SYRACUSE, NY 13210-2576
(315) 464-5240
Mailing address
150 SIMS DR, SYRACUSE, NY 13244-1359
(517) 862-8501
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
026464
NY
103T00000X
Psychologist
6301019455
MI
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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