Individual
DR. LOURDES RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
13361 N 56TH ST, TAMPA, FL 33617-1161
(787) 249-9571
Mailing address
13361 N 56TH ST, TAMPA, FL 33617-1161
(787) 249-9571
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1227
PR
103TC0700X
Clinical Psychologist
Primary
PY12023
FL
Other
Enumeration date
04/30/2013
Last updated
01/12/2024
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