SearchNebraska101YM0800X

Justin Ruzicka, PMHP, PLADC

NPI 1881263069 · on the registry since 2021

Practice

Address
116 Terry Blvd
Gering, NE 69341
Phone
(308) 632-3981
Organisation at this address
Terry And Hazeldeane Carpenter Intergenerational Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YA0400X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-06-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska