Individual
KENNETH E RUFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
790 NEW HOLLAND AVE, COMMUNITY SERVICES GROUP, INC, LANCASTER, PA 17602-2137
(717) 390-0353
(717) 390-1812
Mailing address
PO BOX 597, COMMUNITY SERVICES GROUP, INC, MOUNTVILLE, PA 17554-0597
(717) 285-7121
(717) 285-2658
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS002902L
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS002902L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01658602
CAPITAL BLUE CROSS
PA
01
—
188826
VALUE OPTIONS
PA
Enumeration date
05/10/2006
Last updated
06/06/2013
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