| Ruby Psychological Services, Pllc | |
|
455 Cedar Hill Loop Lufkin TX 75904-7766 | |
| (936) 676-5413 | |
| Not Available |
| Full Name | Ruby Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 455 Cedar Hill Loop, Lufkin, Texas |
| Authorized Official Name and Position | Cutler Trent Ruby (CEO) |
| Authorized Official Contact | 9366765413 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruby Psychological Services, Pllc Po Box 154712 Lufkin TX 75915-4712 Ph: () - | Ruby Psychological Services, Pllc 455 Cedar Hill Loop Lufkin TX 75904-7766 Ph: (936) 676-5413 |
| NPI Number | 1629768635 |
|---|---|
| Provider Enumeration Date | 05/11/2023 |
| Last Update Date | 07/14/2023 |
| Certification Date | 06/28/2023 |
| Medicare PECOS PAC ID | 8426412677 |
|---|---|
| Medicare Enrollment ID | O20230907000395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629768635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Cutler Trent Ruby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215645148 PECOS PAC ID: 2264896414 Enrollment ID: I20230907000459 |
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