Healthcare Provider Details

I. General information

NPI: 1124367271
Provider Name (Legal Business Name): BRIGETTE MARIE RUSZKOWSKI P.C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2013
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 ABBE RD S
ELYRIA OH
44035-7246
US

IV. Provider business mailing address

26018 COBBLESTONE WAY
WESTLAKE OH
44145-2458
US

V. Phone/Fax

Practice location:
  • Phone: 440-323-5121
  • Fax:
Mailing address:
  • Phone: 440-871-3095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC0900344
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: