Individual
MARY LOU RUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
US GOVERNMENT, HUMAN RESOURCE MANAGEMENT, WASHINGTON, DC 20505-0001
(703) 374-1342
Mailing address
11538 OLDE TIVERTON CIR, APT. 104, RESTON, VA 20194-1950
(703) 309-3488
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4522
FL
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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