Individual
DR. JASON RUGGIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
527 GOTT ROAD, BLDG 816, ENID, OK 73705-5103
(580) 213-7419
Mailing address
527 GOTT ROAD, BLDG 816, ENID, OK 73705-5103
(580) 213-7419
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810007403
VA
Other
Enumeration date
05/09/2019
Last updated
04/04/2022
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