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Individual

MARLANA A RUGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY D

Contact information

Practice address
20 RESEARCH PKWY, SUITE C, OLD SAYBROOK, CT 06475-4214
(800) 370-3651
(860) 510-0020
Mailing address
20 RESEARCH PKWY, SUITE C, OLD SAYBROOK, CT 06475-4214
(800) 370-3651
(860) 510-0020

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2729
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
885000300
MD
Enumeration date
04/25/2006
Last updated
06/10/2009
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