Individual
DR. EMILY E RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC, JBSA LACKLAND, TX 78236
(210) 292-6225
Mailing address
13315 QUEENSLAND, SAN ANTONIO, TX 78232-5301
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3308
CO
Other
Enumeration date
10/30/2007
Last updated
05/09/2018
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