| Ruisenor Psychological P.c. | |
|
501 S Mcclelland St Santa Maria CA 93454-5118 | |
| (805) 332-3260 | |
| (805) 332-3165 |
| Full Name | Ruisenor Psychological P.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 501 S Mcclelland St, Santa Maria, California |
| Authorized Official Name and Position | Dalia Mireya Ruiz (EXECUTIVE OFFICER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 8053323260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruisenor Psychological P.c. 501 S Mcclelland St Santa Maria CA 93454-5118 Ph: (805) 332-3260 | Ruisenor Psychological P.c. 501 S Mcclelland St Santa Maria CA 93454-5118 Ph: (805) 332-3260 |
| NPI Number | 1376094540 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 03/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376094540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MFT 81281 (California) | Primary |
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