Individual
DR. NANCY G. RUESCHENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2386 PLAYA VISTA PLACE, AVILA BEACH, CA 93424-2386
(805) 595-7037
(805) 595-2703
Mailing address
6215 PLAYA VISTA PLACE, P. O. BOX 2386, AVILA BEACH, CA 93424-2386
(805) 595-7037
(805) 595-2703
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY10198
CA
103TF0200X
Forensic Psychologist
Primary
PSY10198
CA
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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