Provider Demographics
NPI:1457462640
Name:RUFFING, JOHN BOYLE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:BOYLE
Last Name:RUFFING
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 BOG HILL ROAD
Mailing Address - Street 2:
Mailing Address - City:WEST GARDINER
Mailing Address - State:ME
Mailing Address - Zip Code:04345-3381
Mailing Address - Country:US
Mailing Address - Phone:207-582-4845
Mailing Address - Fax:207-582-8298
Practice Address - Street 1:214 BOG HILL ROAD
Practice Address - Street 2:
Practice Address - City:WEST GARDINER
Practice Address - State:ME
Practice Address - Zip Code:04345-3381
Practice Address - Country:US
Practice Address - Phone:207-582-4845
Practice Address - Fax:207-582-8298
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC447103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical