Organization
VINCENT RUSCELLI PHD,PC
Active
Organization
VINCENT RUSCELLI PHD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT RUSCELLI PHD (PRESIDENT)
(281) 338-4000
Entity
Organization
Contact information
Practice address
560 BLOSSOM ST, SUITE B, WEBSTER, TX 77598-4236
(281) 338-1382
(281) 316-1362
Mailing address
560 BLOSSOM, SUITE B, WEBSTER, TX 77598
(281) 338-1382
(281) 316-1362
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
21088
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000AR418
—
TX
Enumeration date
03/09/2009
Last updated
03/09/2009
Update your record
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