Provider Demographics
NPI:1306090337
Name:RUIZ-ASHWAL, VERONICA D (LMHC)
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:D
Last Name:RUIZ-ASHWAL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13220 SW 28 PLACE
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33330
Mailing Address - Country:US
Mailing Address - Phone:954-475-1452
Mailing Address - Fax:954-583-9575
Practice Address - Street 1:7390 NW 5TH ST
Practice Address - Street 2:SUITE 5
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-1610
Practice Address - Country:US
Practice Address - Phone:954-583-8831
Practice Address - Fax:954-583-9575
Is Sole Proprietor?:No
Enumeration Date:2008-11-04
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8397101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health