Individual
DANIELLE RUFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 N 31ST ST, PHILADELPHIA, PA 19121-4401
(646) 407-3136
Mailing address
1215 N 31ST ST, PHILADELPHIA, PA 19121-4401
(646) 407-6136
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
SL012225
PA
235Z00000X
Speech-Language Pathologist
Primary
SL012225
PA
Other
Enumeration date
05/12/2015
Last updated
04/11/2023
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