DR. JILL VALERIE RUFFMAN


Address: 8757 Auburn Folsom Rd, #2007, Granite Bay, CA 95746-0350
Phone: 9167918530

DR. JILL VALERIE RUFFMAN (NPI# 1346321619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346321619
Entity Type Individual
Full Name DR. JILL VALERIE RUFFMAN
Other Name DR. JILL VALERIE RUFFMAN
Credential PH.D.
Practice Address 8757 Auburn Folsom Rd
#2007
Granite Bay
CA 95746-0350
Mailing Address Po Box 2007
Granite Bay
CA 95746-2007
Practice Telephone 9167918530
Mailing Telephone 9167918530
Enumeration Date 2006-10-17
Last Update Date 2015-03-11
NPI Deactivation Date 05/17/2010
NPI Reactivation Date 2015-03-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY 11266 CA Behavioral Health & Social Service Providers

Office Location

Street Address 8757 AUBURN FOLSOM RD
#2007
City GRANITE BAY
State CA
Zip Code 95746-0350

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City GRANITE BAY
Zip Code 95746

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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