Individual
ANDREA IARUSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 CYPRESS CREEK RD, CEDAR PARK, TX 78613-4466
(512) 351-2522
Mailing address
141 LOOKOUT CIR, HUTTO, TX 78634-5402
(512) 351-2252
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
15417
TX
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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