Ruby Itzen, DR.

NPI #1639527815 in Ruskin, Florida

Provider Information

NPI Number: 1639527815
Entity Type: Individual
Name: Ruby Itzen, DR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: DR.
Enumeration Date: May 29, 2016
Last Updated: Sep 19, 2019

Practice Location

Address: 7031 FEATHER WOOD DR
City: Ruskin
State: Florida
ZIP Code: 33573-0105
Phone: (239) 410-0065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Clinic/Center	261Q00000X

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