Lawrence G. Ruffin

Psychologist · Gary, IN

Organization Active NPI

NPI number 1164588745

Practice location

1991 W 39TH Ct Fl 2
Gary, IN 46408-2474
Phone
(219) 980-7919

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NPI record

NPI
1164588745
Entity type
Organization (Type 2)
Enumeration date
December 28, 2006
Last updated
August 12, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 20041315A IN

Mailing address

PO Box 15090
Gary, IN 46409-5090
Phone
(219) 980-7919

Authorized official

Name
Mrs. Aquanatte M Ruffin, MSW, LCSW
Title
Program Director
Phone
(219) 980-7919

Other names

  • Selah Academy, Incorporated

About Lawrence G. Ruffin

Lawrence G. Ruffin is a healthcare organization registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 1991 W 39TH Ct Fl 2, Gary, IN 46408-2474. The NPI number 1164588745 was assigned on December 28, 2006 and the record was last updated on August 12, 2008.

Lawrence G. Ruffin lists a license in the registry: #20041315A (IN) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mrs. Aquanatte M Ruffin, MSW, LCSW, Program Director.

Frequently asked questions

What is the NPI number of Lawrence G. Ruffin?

The NPI number is 1164588745.

What is the phone number of Lawrence G. Ruffin?

The phone number listed for the practice location is (219) 980-7919.

Where is Lawrence G. Ruffin located?

1991 W 39TH Ct Fl 2, Gary, IN 46408-2474.

What is the taxonomy code for Lawrence G. Ruffin?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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