Individual
DR. LYNNETTE G RUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2819O WILLOW STREET PIKE N, WILLOW STREET, PA 17584-9496
(717) 464-1464
(717) 464-4348
Mailing address
21 GABLE PARK RD, LANCASTER, PA 17603
(717) 872-2603
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS006874L
PA
103TC0700X
Clinical Psychologist
Primary
PS 006874 L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01442642
—
PA
Enumeration date
06/20/2006
Last updated
07/30/2010
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