Individual
DR. DIANE RULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCSW, LMFT,
Contact information
Practice address
7800 W SAND LAKE RD, SUITE 207, ORLANDO, FL 32819-5416
(407) 455-1347
Mailing address
7800 W SAND LAKE RD, SUITE 207, ORLANDO, FL 32819-5416
(407) 455-1347
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00106400
NJ
1041C0700X
Clinical Social Worker
44SC00022300
NJ
1041C0700X
Clinical Social Worker
Primary
SW7993
FL
Other
Enumeration date
01/03/2007
Last updated
06/17/2014
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