Individual
DR. REBECCA PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12247 DELACROIX DR, EL PASO, TX 79936-0248
(920) 629-9463
Mailing address
12247 DELACROIX DR, EL PASO, TX 79936-0248
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11917476-2501
UT
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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