Individual
ROXANNA LOUISE RUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1310 WAYZATA BLVD E, BREATHING ROOM, WAYZATA, MN 55391-1952
(763) 391-2764
Mailing address
614 E ST, PETALUMA, CA 94952-4157
(763) 391-2764
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MN LP 3040
MN
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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