Organization
L E RUCKSTUHL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIONEL EDWARD RUCKSTUHL JR. PH.D. (PRESIDENT)
(775) 787-7028
Entity
Organization
Contact information
Practice address
5421 KIETZKE LN, SUITE 202, RENO, NV 89511-1088
(775) 787-7028
(877) 738-0730
Mailing address
5421 KIETZKE LANE, SUITE 202, RENO, NV 89511-1088
(775) 787-7028
(877) 738-0730
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0462
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502901
—
NV
Enumeration date
08/31/2006
Last updated
02/11/2009
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