Provider Demographics
NPI:1134832736
Name:RUFFINI, PETER D (EDS, MA, LPC, ACS)
Entity type:Individual
Prefix:MR
First Name:PETER
Middle Name:D
Last Name:RUFFINI
Suffix:
Gender:M
Credentials:EDS, MA, LPC, ACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 HUGHES DR
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-1213
Mailing Address - Country:US
Mailing Address - Phone:609-902-8488
Mailing Address - Fax:
Practice Address - Street 1:1145 HUGHES DR
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-1213
Practice Address - Country:US
Practice Address - Phone:609-902-8488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00740900101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health