Individual
CHRISTINA RUZICKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1577 SOUTH AVE, ROCHESTER, NY 14620-3914
(585) 667-0970
Mailing address
1577 SOUTH AVE, ROCHESTER, NY 14620-3914
(585) 667-0970
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024357-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/15/2017
Last updated
07/18/2022
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