Provider Demographics
NPI:1548933997
Name:RUFF, RONALD (SCHOOL PSYCHOLOGIST)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:RUFF
Suffix:
Gender:M
Credentials:SCHOOL PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3757 E COVEY LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-5004
Mailing Address - Country:US
Mailing Address - Phone:708-205-7189
Mailing Address - Fax:
Practice Address - Street 1:3757 E COVEY LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-5004
Practice Address - Country:US
Practice Address - Phone:708-205-7189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool