Individual
DR. GISELLE M RUANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
3515 E FLETCHER AVE, TAMPA, FL 33613-4702
(813) 974-8900
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9006
FL
103TC0700X
Clinical Psychologist
RPS 2012019
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5990D
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/18/2007
Last updated
02/18/2015
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