Provider Demographics
NPI:1467023606
Name:INFANTE LOBAINA, RUTH (PSYD)
Entity type:Individual
Prefix:DR
First Name:RUTH
Middle Name:
Last Name:INFANTE LOBAINA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:
Other - Last Name:INFANTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2035 WEYER AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-3066
Mailing Address - Country:US
Mailing Address - Phone:305-778-9796
Mailing Address - Fax:
Practice Address - Street 1:4175 W 20TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-5874
Practice Address - Country:US
Practice Address - Phone:305-424-3171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-08
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPPY375103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical