Individual
DR. ROBIN MARY LORALEI PARUCKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
81 FAIR OAKS LANE, SUNRISE BEACH, MO 65079-5593
(573) 374-1614
(573) 374-1614
Mailing address
81 FAIR OAKS LANE, SUNRISE BEACH, MO 65079-5593
(573) 374-1614
(573) 374-1614
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301005550
MI
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
6301005550
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301005550
MI
Other
Enumeration date
05/02/2007
Last updated
09/11/2025
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