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DR. JEARLEAN RUIZ MARIN PSY.D. NPI 1770092785


NPI Information

NPI: 1770092785
Provider Name: DR. JEARLEAN RUIZ MARIN, PSY.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
2155 OLD MOULTRIE RD STE 101
ST AUGUSTINE, FL
ZIP 32086
Phone: (863) 709-8110
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DR. Jearlean Ruiz Marin, PSY.D. is a clinical psychologist in St Augustine, FL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Jearlean Ruiz Marin, PSY.D. NPI is 1770092785. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2155 OLD MOULTRIE RD STE 101
ST AUGUSTINE, FL
ZIP 32086-106
Phone: (863) 709-8110

The enumeration date for this NPI number is 9/21/2017 and was last updated on 9/21/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical9939FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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