Provider Demographics
NPI:1649679507
Name:RUARO, LAURA MARIA (DPROF)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:MARIA
Last Name:RUARO
Suffix:
Gender:F
Credentials:DPROF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:432 W FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-2026
Mailing Address - Country:US
Mailing Address - Phone:626-548-6122
Mailing Address - Fax:
Practice Address - Street 1:432 W FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-2026
Practice Address - Country:US
Practice Address - Phone:626-548-6122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-17
Last Update Date:2014-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSB94020722103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling