Individual
ROBERT ALAN RUCHINSKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
5323 HARRY HINNES BLVD., DALLAS, TX 75390-7208
(214) 648-4646
(214) 648-4947
Mailing address
1440 EMPIRE CENTRAL, DALLAS, TX 75247
(214) 648-4646
(214) 648-4947
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
36074
TX
103T00000X
Psychologist
35SI00457100
NJ
103T00000X
Psychologist
Primary
36074
TX
103T00000X
Psychologist
PA007810L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019658220001
—
PA
05
—
6943101
—
NJ
Enumeration date
10/11/2005
Last updated
02/13/2023
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