| L E Ruckstuhl Inc | |
|
5421 Kietzke Ln Suite 202 Reno NV 89511-1088 | |
| (775) 787-7028 | |
| (877) 738-0730 |
| Full Name | L E Ruckstuhl Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5421 Kietzke Ln, Reno, Nevada |
| Authorized Official Name and Position | Lionel Edward Ruckstuhl (PRESIDENT) |
| Authorized Official Contact | 7757877028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L E Ruckstuhl Inc 5421 Kietzke Lane Suite 202 Reno NV 89511-1088 Ph: (775) 787-7028 | L E Ruckstuhl Inc 5421 Kietzke Ln Suite 202 Reno NV 89511-1088 Ph: (775) 787-7028 |
| NPI Number | 1265544126 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 02/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265544126 | NPI | - | NPPES |
| 100502901 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY0462 (Nevada) | Primary |
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