Individual
DR. AMAYA A. RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
11835 CANON BLVD, SUITE B-102, NEWPORT NEWS, VA 23606-2570
(757) 223-1909
(757) 240-2670
Mailing address
11835 CANON BLVD, SUITE B-102, NEWPORT NEWS, VA 23606-2570
(757) 223-1909
(757) 240-2670
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004168
VA
Other
Enumeration date
10/15/2009
Last updated
03/08/2017
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