| Vincent Ruscelli Phd,pc | |
|
560 Blossom St Suite B Webster TX 77598-4236 | |
| (281) 338-1382 | |
| (281) 316-1362 |
| Full Name | Vincent Ruscelli Phd,pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 560 Blossom St, Webster, Texas |
| Authorized Official Name and Position | Vincent Ruscelli (PRESIDENT) |
| Authorized Official Contact | 2813384000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent Ruscelli Phd,pc 560 Blossom Suite B Webster TX 77598 Ph: (281) 338-1382 | Vincent Ruscelli Phd,pc 560 Blossom St Suite B Webster TX 77598-4236 Ph: (281) 338-1382 |
| NPI Number | 1962643783 |
|---|---|
| Provider Enumeration Date | 03/09/2009 |
| Last Update Date | 03/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962643783 | NPI | - | NPPES |
| P000AR418 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 21088 (Texas) | Primary |
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