JACOB ROBERT RUSCZEK

MONTPELIER, VT
NPI1932622461
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: VT  048.0121887)
Enumeration Date2017-07-17
Last Update Date2017-07-17
Business Address
JACOB ROBERT RUSCZEK Ph.D.
301 RIVER ST STE 204
MONTPELIER, VT 05602-4303
Phone number: 802-552-0548
Mailing Address
JACOB ROBERT RUSCZEK Ph.D.
8 WILDER ST APT 5
MONTPELIER, VT 05602-3818
Phone number: 802-505-5026