Individual
LARISSA LASKA-RUEBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
245 KENTUCKY ST., SUITE A, PATALUMA, CA 94952
(707) 216-1612
Mailing address
245 KENTUCKY ST., SUITE A, PATALUMA, CA 94952
(707) 216-1612
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY31800
CA
Other
Enumeration date
07/14/2010
Last updated
09/08/2021
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