Individual
ELIZABETH RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2333 GOVERNMENT ST, BATON ROUGE, LA 70806-5316
(225) 336-0984
Mailing address
1152 INGLESIDE DR, BATON ROUGE, LA 70806-7036
(225) 383-4185
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
768
LA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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