Individual
DR. ERICH RUESCHENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6215 PLAYA VISTA PLACE, AVILA BEACH, CA 93424-2386
(805) 595-7037
Mailing address
PO BOX 2386, AVILA BEACH, CA 93424-2386
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY13790
CA
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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