Provider Demographics
NPI:1437221132
Name:VIRGINIA DARE RUFIN INC.
Entity Type:Organization
Organization Name:VIRGINIA DARE RUFIN INC.
Other - Org Name:RUFIN SPEECH AND LANGUAGE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VIRGINIA DARE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUFIN
Authorized Official - Suffix:
Authorized Official - Credentials:CCCSLP
Authorized Official - Phone:504-835-9654
Mailing Address - Street 1:807 RUE DECATUR
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-3463
Mailing Address - Country:US
Mailing Address - Phone:504-835-9654
Mailing Address - Fax:504-833-2027
Practice Address - Street 1:807 RUE DECATUR
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-3463
Practice Address - Country:US
Practice Address - Phone:504-835-9654
Practice Address - Fax:504-833-2027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA239235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty